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Kansas 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
$1,949.84 / $5,623.41 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $316.23 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,089.30 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $457.09 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $371.54 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,570.40 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $354.81 / $524.81