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Indiana rates for HCPCS 92975

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.08 / $449.08 / $608.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.08 / $449.08 / $1,924.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.16 / $1,270.11 / $5,608.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.07 / $541.29 / $736.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.54 / $420.00 / $484.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.23 / $371.54 / $484.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.16 / $796.87 / $1,713.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.72 / $465.52 / $741.36