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Maryland rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.72 / $282.72 / $504.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $75.51 / $360.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.70 / $77.01 / $130.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.41 / $99.84 / $263.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.66 / $68.66 / $82.50