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Pennsylvania 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
$203.09 / $276.85 / $365.38
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.52 / $316.02 / $591.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.90 / $334.91 / $586.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.64 / $477.62 / $622.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.47 / $316.24 / $1,426.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $701.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.70 / $337.99 / $611.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.75 / $292.50 / $317.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.27 / $382.22 / $628.87