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Idaho rates for HCPCS 0101T

Extracorporeal Shock Wave Muscskel Sys Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.39 / $189.43 / $215.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.78 / $154.78 / $155.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.52 / $177.86 / $273.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.75 / $17.75 / $198.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.16 / $26.62 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.55 / $934.04 / $8,435.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.74 / $272.63 / $315.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.20 / $395.00 / $529.29