go back

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
$49.13 / $49.13 / $49.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.14 / $74.14 / $74.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.02 / $74.14 / $74.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.71 / $18.73 / $58.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $14.05 / $88.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $21.25 / $22.92