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Maine 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
Professional
Modifier
Low / Median / High Price
$30.90 / $79.43 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $60.26 / $316.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $30.90 / $46.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $77.62 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.50 / $41.69