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Utah rates for HCPCS 92977

Thrombolysis Coronary Intravenous Infusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.72 / $282.72 / $282.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.29 / $57.64 / $75.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.74 / $651.80 / $935.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.66 / $117.40 / $313.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.83 / $77.02 / $108.73