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Indiana 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
$1,380.38 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $60.26 / $100.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $1,621.81 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $2,137.96 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $331.13 / $549.54