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Washington rates for HCPCS 92975

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.24 / $792.43 / $1,023.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.42 / $970.30 / $1,924.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.11 / $3,796.83 / $3,796.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.50 / $868.66 / $3,216.98
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.09 / $785.17 / $977.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.62 / $801.42 / $1,020.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.61 / $561.97 / $904.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.32 / $696.47 / $752.41
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.11 / $500.11 / $501.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.78 / $833.19 / $997.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.05 / $721.83 / $972.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.92 / $677.66 / $1,097.92