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Arizona 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
$2,041.74 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $295.12 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,370.32 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $575.44 / $6,309.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $354.81 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $4,073.80 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $309.03 / $524.81