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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.83 / $72.59 / $97.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.40 / $806.18 / $1,277.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.09 / $86.79 / $100.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.14 / $83.98 / $83.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $104.33 / $1,924.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.08 / $12.97 / $89.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.92 / $12.35 / $16.82