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Indiana rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $14,454.40 / $19,498.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $501.19 / $812.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $1,621.81 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $7,762.47 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $302.00 / $467.74