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South Carolina 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
$44.05 / $7,799.00 / $21,886.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.05 / $45.67 / $74.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.05 / $44.50 / $52.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $13.00 / $24.70