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Tennessee rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.16 / $95.68 / $123.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.38 / $95.16 / $139.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.00 / $1,438.00 / $2,065.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.80 / $71.45 / $129.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.64 / $603.50 / $3,408.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.90 / $2,708.00 / $2,708.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $81.75 / $273.70