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Arizona rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.72 / $282.72 / $352.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.01 / $640.03 / $1,046.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.76 / $55.68 / $69.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.40 / $202.77 / $1,944.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.25 / $111.29 / $2,708.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.83 / $87.76 / $203.30