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Nebraska 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
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.83 / $43.83 / $97.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.23 / $1,181.41 / $2,285.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.59 / $129.78 / $194.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.98 / $106.94 / $130.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.76 / $83.28 / $4,317.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.12 / $475.65 / $770.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.05 / $87.61 / $108.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.98 / $87.61 / $130.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.90 / $475.65 / $770.24