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Minnesota rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $194.98 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $691.83 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $389.05 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,288.25 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $436.52 / $501.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $2,454.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $512.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $616.60 / $6,606.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $489.78 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $4,265.80 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $416.87 / $831.76