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Louisiana rates for HCPCS 92975

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.49 / $477.49 / $1,924.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,781.51 / $9,310.37 / $13,372.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.14 / $584.85 / $806.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.74 / $505.83 / $783.95