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South Carolina rates for HCPCS 0715T

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

Insurance Carrier
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $380.19