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Missouri 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
$1,778.28 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $173.78 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $309.03 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $380.19 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $660.69 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $346.74 / $616.60