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Virginia 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
$380.19 / $4,365.16 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $416.87
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
$380.19 / $537.03 / $954.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $338.84 / $2,511.89
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
$1,445.44 / $1,445.44 / $1,445.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $354.81 / $436.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $371.54 / $562.34
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $524.81 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $524.81 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $9,549.93 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $316.23 / $537.03