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Hawaii rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.55 / $465.05 / $2,287.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.55 / $71.51 / $83.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.78 / $74.48 / $85.71
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.93 / $68.14 / $116.13