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Oregon rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.80 / $114.80 / $134.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.80 / $282.72 / $282.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.28 / $128.41 / $152.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.81 / $111.11 / $310.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.38 / $251.38 / $251.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.21 / $107.54 / $243.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.93 / $152.26 / $310.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.20 / $124.62 / $157.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.64 / $1,077.02 / $1,312.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.04 / $130.82 / $174.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.53 / $123.12 / $175.37