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Arizona rates for HCPCS 92975

Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.17 / $1,924.17 / $2,071.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.24 / $1,667.10 / $2,726.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.57 / $363.43 / $454.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.74 / $594.79 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.69 / $428.82 / $3,104.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,537.00 / $1,537.00 / $1,537.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.69 / $408.40 / $679.79