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North Dakota 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
$190.55 / $338.84 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $213.80 / $416.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $371.54 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $512.86 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,128.61 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $467.74 / $630.96