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North Dakota rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.39 / $352.39 / $352.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.09 / $129.96 / $142.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.70 / $121.20 / $170.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.45 / $78.00 / $362.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.77 / $123.98 / $137.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.50 / $113.36 / $137.76