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Alaska rates for HCPCS 0102T

Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral humeral epicondyle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,285.00 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.52 / $482.97 / $482.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.29 / $482.97 / $676.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.00 / $1,426.95 / $1,843.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.46 / $482.97 / $676.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.00 / $1,394.75 / $1,896.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.00 / $716.00 / $1,432.00