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New Mexico rates for HCPCS 92975

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.17 / $1,924.17 / $1,924.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $582.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.18 / $521.66 / $561.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.35 / $623.14 / $885.33