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New Mexico rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,762.47 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $501.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $2,187.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $213.80 / $346.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $7,762.47 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $407.38 / $562.34