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Alaska rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.84 / $116.84 / $116.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.37 / $282.72 / $282.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.37 / $105.22 / $150.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.87 / $51.87 / $74.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $226.80 / $324.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.37 / $56.37 / $56.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.94 / $229.50 / $390.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.22 / $128.36 / $213.81