go back

Maryland 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
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $389.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $257.04 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $1,348.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $363.08 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $645.65 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $588.84