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South Carolina rates for HCPCS 00873

Anesthesia for lithotripsy, extracorporeal shock wave; without water bath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$486.20 / $486.20 / $486.20
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$800.80 / $800.80 / $800.80