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California rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.72 / $352.39 / $352.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.34 / $282.72 / $604.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.00 / $6,706.00 / $13,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.96 / $209.53 / $479.28
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.18 / $2,048.92 / $4,228.77
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $71.37 / $181.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.76 / $91.76 / $132.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.39 / $249.43 / $316.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.30 / $73.06 / $139.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.64 / $626.00 / $3,408.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.90 / $2,708.00 / $2,708.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.36 / $103.76 / $514.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.11 / $67.63 / $138.19
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.41 / $175.41 / $175.41
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $453.77 / $680.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.79 / $87.59 / $249.22