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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.26 / $58.41 / $79.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.97 / $58.41 / $79.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $14.39 / $14.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.37 / $30.00 / $3,500.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.63 / $70.15 / $122.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.37 / $17.19 / $22.13