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Tennessee rates for HCPCS 92975

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.85 / $698.71 / $899.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.79 / $694.85 / $842.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,326.00 / $4,372.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.54 / $481.42 / $755.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,064.23 / $3,697.29 / $3,796.83
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,104.08 / $3,104.08 / $3,130.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $1,868.00 / $2,299.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.39 / $537.20 / $874.40