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Alaska rates for HCPCS J2993

Injection, reteplase, 18.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $16,982.44 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,090.30 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,079.46 / $16,982.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,621.81 / $4,897.79
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $7,943.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $7,079.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,122.02 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,570.88 / $6,025.60