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Utah rates for HCPCS 37195

Thrombolysis, cerebral, by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,047.13 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $977.24 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $1,288.25 / $1,548.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $239.88 / $645.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $616.60 / $1,412.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,187.76 / $2,398.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,348.96 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $707.95