| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.80 | $309.03 | $389.05 | |
United
| Facility | $2,754.23 | $4,168.69 | $14,125.38 | |
United
| Professional | $354.81 | $501.19 | $912.01 |
Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral humeral epicondyle
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.80 | $309.03 | $389.05 | |
United
| Facility | $2,754.23 | $4,168.69 | $14,125.38 | |
United
| Professional | $354.81 | $501.19 | $912.01 |