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Montana rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.72 / $282.72 / $282.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.04 / $172.04 / $182.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.11 / $53.11 / $66.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.53 / $93.63 / $197.44