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Wyoming 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
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $4,168.69 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $912.01