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Utah 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
$259.28 / $299.47 / $433.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.86 / $865.95 / $1,109.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.69 / $439.20 / $659.52