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North Carolina rates for HCPCS 92975

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.55 / $607.80 / $607.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.80 / $680.10 / $972.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.97 / $847.20 / $1,033.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.51 / $568.26 / $956.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.51 / $411.51 / $411.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.95 / $517.42 / $1,009.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,064.23 / $3,064.23 / $3,697.29
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,104.08 / $3,104.08 / $3,130.50