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Pennsylvania rates for HCPCS 37212

Thrombolysis Venous Infusion W/Imaging Init Tx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,422.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,648.32 / $6,648.32 / $11,931.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,422.00 / $8,017.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.22 / $325.22 / $332.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00