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New York 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
$1,122.02 / $3,981.07 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $416.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,888.44 / $12,302.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $489.78
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $10,964.78
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $380.19 / $1,023.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $446.68 / $676.08
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $407.38 / $707.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $6,456.54 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $630.96
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $275.42 / $363.08
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $758.58