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Virginia 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
$85.76 / $5,048.00 / $10,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.45 / $45.67 / $85.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $17.26 / $24.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.57 / $52.57 / $52.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.64 / $294.64 / $294.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.23 / $30.41 / $36.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.76 / $68.51 / $94.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.76 / $89.00 / $114.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.94 / $101.98 / $1,263.41
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.94 / $101.98 / $1,263.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $89.57 / $143.32