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South Dakota 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
$47.23 / $47.23 / $47.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.91 / $47.23 / $47.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.98 / $83.98 / $83.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.04 / $65.95 / $125.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.51 / $24.70 / $322.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.61 / $83.98 / $108.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.98 / $87.61 / $106.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $22.74 / $70.30