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Ohio rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.60 / $128.87 / $157.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.48 / $128.87 / $157.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.00 / $1,927.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.02 / $267.62 / $452.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.11 / $51.11 / $74.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.11 / $55.11 / $72.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.01 / $401.01 / $401.01
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.44 / $477.25 / $477.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $72.69 / $102.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.78 / $76.66 / $221.29