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Maine rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $213.80 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $363.08 / $436.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $501.19 / $954.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $371.54 / $691.83