go back

Pennsylvania 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
$42.96 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.71 / $42.96 / $92.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.71 / $42.96 / $1,544.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.57 / $52.57 / $52.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.64 / $294.64 / $294.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.51 / $76.64 / $109.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.51 / $92.40 / $109.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $674.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $104.10 / $192.41