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Missouri rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $186.21 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $295.12 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $407.38 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $302.00 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $371.54 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $3,019.95 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $316.23 / $537.03