go back

Texas rates for HCPCS 92975

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.22 / $345.83 / $417.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.77 / $469.95 / $1,655.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $357.52 / $577.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.24 / $608.24 / $608.24
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.71 / $466.58 / $838.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.11 / $348.11 / $348.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.60 / $480.15 / $1,037.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.11 / $629.54 / $1,127.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.00 / $635.00 / $635.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.57 / $414.18 / $670.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.67 / $348.11 / $475.85