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Wisconsin rates for HCPCS 0715T

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

Facilitymedian $1,698 · 10th–90th $501–$3,4670%50%10th90th$1,698Professionalmedian $692 · 10th–90th $59–$8510%10%20%10th90th$692$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,698.24 / $3,467.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $380.19 / $691.83