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Wisconsin rates for HCPCS C1761

Catheter, transluminal intravascular lithotripsy, coronary

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.00 / $2,203.00 / $7,700.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,900.00 / $5,900.00 / $5,900.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $2,203.00 / $17,441.00