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Nebraska rates for HCPCS 0101T

Extracorporeal Shock Wave Muscskel Sys Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.25 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.76 / $165.25 / $215.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.61 / $4,406.97 / $8,524.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.94 / $433.01 / $651.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.40 / $193.40 / $193.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.32 / $452.25 / $516.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.25 / $298.62 / $6,384.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.06 / $512.71 / $831.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.84 / $330.32 / $678.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.42 / $510.01 / $678.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.30 / $561.37 / $755.52