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Missouri rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.48 / $86.04 / $282.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,406.00 / $16,952.00 / $21,797.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.12 / $93.33 / $263.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.70 / $103.70 / $103.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $190.18 / $1,300.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.50 / $126.22 / $2,708.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.76 / $79.56 / $195.71