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Michigan 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
$346.74 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $4,365.16 / $4,570.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $851.14 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,495.41 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $446.68