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Nebraska 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
$1,824.54 / $2,399.77 / $4,641.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.49 / $78.43 / $105.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.06 / $113.06 / $141.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.98 / $121.74 / $3,408.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.14 / $116.49 / $2,708.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.88 / $123.15 / $204.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.88 / $123.15 / $245.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.68 / $109.18 / $248.24