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Maine rates for HCPCS 92975

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.31 / $1,504.80 / $1,696.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.69 / $474.98 / $730.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.36 / $548.11 / $708.77