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Hawaii rates for HCPCS 0101T

Extracorporeal Shock Wave Muscskel Sys Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.20 / $215.20 / $215.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.17 / $17.64 / $20.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.72 / $439.89 / $477.22