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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
$96.88 / $215.20 / $275.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.81 / $360.77 / $360.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.64 / $314.29 / $482.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.88 / $247.47 / $275.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.05 / $381.42 / $493.22