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South 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
$331.13 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $331.13 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,760.83 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $2,344.23 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $380.19 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,182.57 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $309.03 / $478.63