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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $380.19 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,570.88 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,148.15 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $389.05 / $512.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $389.05 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $7,244.36 / $10,232.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $707.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $5,495.41 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $9,332.54 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $416.87 / $549.54