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South Carolina 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
$214.36 / $280.80 / $387.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.77 / $283.79 / $391.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.76 / $405.78 / $623.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.55 / $293.55 / $293.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.48 / $205.33 / $378.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.04 / $369.59 / $646.26