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Montana rates for HCPCS 28890

Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring anesthesia other than local, including ultrasound guidance, involving the plantar fascia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.86 / $453.92 / $1,723.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.00 / $376.93 / $543.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.24 / $407.33 / $631.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.17 / $528.95 / $587.51