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North Carolina rates for HCPCS 0715T

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

Insurance Carrier
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $707.95 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $416.87
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14