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Arkansas rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.84 / $112.68 / $393.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.25 / $270.52 / $421.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.29 / $338.29 / $405.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.55 / $66.91 / $66.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.47 / $76.37 / $363.75