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Maryland rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.13 / $185.23 / $215.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.73 / $257.73 / $283.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.72 / $641.21 / $1,335.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.18 / $416.18 / $498.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.81 / $165.54 / $351.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.37 / $298.49 / $541.51