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Montana 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
$46.77 / $61.66 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $74.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $83.18
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $83.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $42.66 / $74.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $20.89 / $23.44