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New York rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.16 / $79.19 / $118.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $100.24 / $340.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,427.00 / $5,017.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.39 / $60.65 / $205.15
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.12 / $74.12 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.12 / $74.12 / $74.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.01 / $401.01 / $401.01
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.68 / $120.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $92.45 / $132.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.02 / $78.66 / $148.33
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.17 / $110.99 / $401.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.31 / $73.76 / $200.60
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.00 / $74.00 / $1,110.16
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.52 / $78.79 / $148.33