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Virginia rates for HCPCS 92977

Thrombolysis, coronary; by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.87 / $128.87 / $157.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.19 / $79.87 / $282.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.41 / $64.19 / $89.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $147.24 / $487.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.36 / $64.66 / $80.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.75 / $89.28 / $482.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $102.00 / $212.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.08 / $137.41 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.08 / $137.41 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.51 / $93.91 / $438.27