| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.96 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $44.09 | $44.96 | $80.95 | |
United
| Facility | $130.00 | $337.00 | $858.00 | |
United
| Professional | $12.09 | $92.91 | $186.08 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.96 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $44.09 | $44.96 | $80.95 | |
United
| Facility | $130.00 | $337.00 | $858.00 | |
United
| Professional | $12.09 | $92.91 | $186.08 |