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New Mexico 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
$1,000.00 / $7,762.47 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $426.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $2,187.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $346.74 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $9,120.11 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $588.84