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Iowa rates for HCPCS 0102T

Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral humeral epicondyle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $316.23 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $812.83 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $616.60 / $794.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $3,715.35 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $501.19 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $616.60 / $794.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $7,585.78 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $416.87 / $741.31