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North Carolina rates for HCPCS 00872

Anesthesia for lithotripsy, extracorporeal shock wave; with water bath

Insurance Carrier
Wellcare
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$181.97 / $181.97 / $181.97
Wellcare
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$181.97 / $181.97 / $181.97
Wellcare
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$181.97 / $181.97 / $181.97