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South Carolina rates for HCPCS 0101T

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $186.21 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $7,079.46 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $204.17 / $398.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $12,589.25 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $269.15 / $426.58