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Wisconsin 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
$28.84 / $28.84 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $50.12 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $85.11 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $83.18 / $213.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $45.71 / $199.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $295.12 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $25.70 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $53.70 / $128.82
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $323.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $204.17 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $24.55 / $89.13