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Virginia rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $4,365.16 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $758.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $338.84 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $102.33 / $128.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $275.42 / $398.11
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $371.54 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $371.54 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $9,332.54 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $316.23 / $549.54