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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
$204.17 / $302.00 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $288.40 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $407.38 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $524.81