| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.99 | $62.99 | $62.99 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $12.63 | $20.89 | $38.78 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.99 | $62.99 | $62.99 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $12.63 | $20.89 | $38.78 |