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Pennsylvania 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
$173.72 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.08 / $146.04 / $173.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.18 / $416.18 / $498.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.51 / $538.08 / $553.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.08 / $146.04 / $1,544.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.02 / $211.02 / $211.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.18 / $498.63 / $1,064.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.03 / $255.45 / $363.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.03 / $307.99 / $363.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $674.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.95 / $363.51 / $635.44