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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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $177.83 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $407.38 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $18.20 / $21.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $177.83 / $251.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $186.21 / $229.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $501.19 / $630.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $309.03 / $363.08
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $416.87 / $562.34