go back

Idaho rates for HCPCS 0512T

Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; initial wound

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.84 / $177.67 / $226.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.15 / $175.84 / $226.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.14 / $21.14 / $21.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.90 / $497.75 / $737.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.34 / $281.58 / $349.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.38 / $387.37 / $540.94