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Wisconsin 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
$117.78 / $117.78 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.78 / $142.86 / $352.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.97 / $308.04 / $722.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.76 / $1,088.83 / $1,670.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $890.87 / $1,012.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.71 / $387.55 / $976.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.78 / $690.81 / $1,789.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.73 / $586.33 / $1,402.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $163.35
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.71 / $387.55 / $976.23
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.82 / $526.79 / $751.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.72 / $1,033.95 / $1,033.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.19 / $938.48 / $1,402.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.86 / $635.86 / $635.86
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.90 / $1,506.00 / $1,506.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.91 / $604.82 / $1,293.19