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North Carolina 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
$380.19 / $6,165.95 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $323.59 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $467.74 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,621.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $380.19 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $9,332.54 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $323.59 / $562.34
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $8,912.51
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,630.27 / $2,630.27