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Texas 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
$732.00 / $3,682.00 / $12,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.14 / $57.89 / $74.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.33 / $286.08 / $327.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.39 / $322.39 / $322.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.89 / $84.73 / $117.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.17 / $21.17 / $63.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.14 / $77.45 / $117.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $14.77 / $21.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $952.00 / $2,405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $13.00 / $20.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $87.19 / $122.07