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South Dakota 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
$338.84 / $338.84 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $338.84 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $512.86 / $575.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $489.78 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $478.63 / $2,570.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $457.09 / $794.33