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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
$4,845.13 / $4,845.13 / $17,129.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,008.95 / $4,894.07 / $4,894.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,081.45 / $3,081.45 / $3,081.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,998.52 / $6,998.52 / $6,998.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.17 / $1,130.17 / $1,614.53
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,075.34 / $5,075.34 / $7,975.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,075.34 / $6,998.52 / $11,963.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.17 / $1,614.53 / $3,081.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.04 / $4,531.56 / $6,094.04