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Texas 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 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $338.84 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $1,445.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $8,912.51
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,630.27 / $2,630.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $416.87 / $4,073.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $363.08 / $436.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $398.11 / $707.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $512.86 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,248.07 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $309.03 / $478.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $309.03 / $309.03