go back

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
$489.78 / $489.78 / $489.78
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$794.33 / $794.33 / $794.33