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Oregon rates for HCPCS 92975

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.41 / $792.41 / $880.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.41 / $1,924.17 / $1,924.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.72 / $808.53 / $920.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.64 / $719.55 / $1,039.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.31 / $818.31 / $818.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.98 / $696.47 / $750.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.63 / $893.08 / $1,039.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.91 / $876.00 / $1,127.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,014.10 / $2,014.10 / $2,014.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.33 / $885.96 / $1,167.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.42 / $818.63 / $1,164.95