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Rhode Island 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
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $467.74 / $724.44