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Missouri rates for HCPCS 0715T

Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $501.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $630.96 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $245.47 / $331.13