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Alaska rates for HCPCS 0513T

Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; each additional wound (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,285.00 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.68 / $57.68 / $57.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.68 / $80.75 / $82.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.51 / $235.00 / $282.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.68 / $80.75 / $82.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.13 / $232.65 / $447.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.69 / $31.92 / $48.15