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New Hampshire rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.30 / $407.67 / $407.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.67 / $407.67 / $407.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.34 / $123.23 / $202.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.52 / $111.32 / $356.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $59.54 / $116.03