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Virginia 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
$142.86 / $5,048.00 / $10,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.47 / $158.77 / $196.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.65 / $84.01 / $121.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.02 / $211.02 / $211.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.88 / $1,064.88 / $1,064.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.94 / $129.44 / $154.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.43 / $157.15 / $261.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.55 / $331.98 / $443.81
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.45 / $280.92 / $1,263.41
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.45 / $280.92 / $1,263.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.18 / $349.50 / $569.66