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Nebraska 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
$7,244.36 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $316.23 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $9,549.93 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,047.13 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $691.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $575.44 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $512.86 / $912.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $794.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,495.41 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $501.19 / $794.33