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North Carolina rates for RC 0790

ExtraCorporeal Shock Wave Therapy (formerly Lithotripsy)-General Classification

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,914.62 / $7,516.48 / $10,643.40
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,375.29 / $13,335.11 / $19,741.43
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,738.00 / $10,000.00 / $10,460.00