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Missouri rates for HCPCS 92975

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.20 / $621.20 / $1,924.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.60 / $16,182.00 / $21,797.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.14 / $535.83 / $788.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.29 / $636.29 / $636.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.16 / $953.99 / $7,903.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.46 / $704.86 / $3,104.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.46 / $626.28 / $1,026.77