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Montana rates for HCPCS 0101T

Extracorporeal Shock Wave Muscskel Sys Nos

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.81 / $234.16 / $405.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.14 / $288.14 / $288.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.92 / $259.33 / $288.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $14.53 / $288.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.42 / $25.41 / $406.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.90 / $458.20 / $521.39