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South Carolina rates for HCPCS 0101T

Extracorporeal Shock Wave Muscskel Sys Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.02 / $7,799.00 / $21,886.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.02 / $181.28 / $309.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,902.15 / $7,355.47 / $12,492.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.15 / $210.80 / $2,345.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.43 / $1,027.43 / $1,027.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.02 / $260.47 / $363.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.91 / $2,144.91 / $2,144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,456.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.81 / $274.86 / $462.94