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Missouri 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
$1,778.28 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $295.12 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $794.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $501.19 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $331.13 / $524.81