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South Dakota rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.06 / $114.70 / $141.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.15 / $114.72 / $441.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $109.18 / $2,708.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.39 / $135.43 / $204.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.39 / $135.43 / $447.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.50 / $95.32 / $111.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.84 / $93.58 / $136.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.10 / $131.90 / $137.19