go back

Minnesota 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
$338.84 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $9,120.11 / $22,908.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,786.30 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $660.69 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $537.03 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $562.34 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,011.87 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $478.63 / $851.14