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Arkansas 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
$168.68 / $1,821.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.68 / $215.20 / $309.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.07 / $3,206.07 / $3,206.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.05 / $347.38 / $498.82