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Virginia rates for HCPCS 92975

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.54 / $952.54 / $1,162.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.12 / $535.67 / $1,924.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.04 / $1,073.75 / $2,147.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.50 / $424.60 / $591.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.97 / $434.81 / $847.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.34 / $410.81 / $506.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.36 / $563.51 / $723.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.00 / $543.00 / $843.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.81 / $509.15 / $5,502.98
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.81 / $509.15 / $5,502.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,656.00 / $2,656.00 / $2,656.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.07 / $504.48 / $764.89