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South Carolina rates for HCPCS 92977

Thrombolysis Coronary Intravenous Infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.52 / $90.45 / $282.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.79 / $629.53 / $1,006.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.15 / $355.00 / $624.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.50 / $140.00 / $488.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.12 / $73.83 / $109.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.30 / $72.45 / $270.76