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Missouri 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
$1,110.00 / $4,610.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $45.26 / $58.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.16 / $282.33 / $443.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.14 / $74.14 / $74.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.47 / $98.38 / $1,218.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $322.39 / $581.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $875.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $245.94 / $529.41