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Iowa rates for HCPCS J2993

Injection, reteplase, 18.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,625.24 / $3,625.24 / $8,013.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,900.19 / $2,900.19 / $3,625.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,367.00 / $2,367.00 / $2,958.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $3,002.90 / $3,546.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.35 / $2,904.57 / $3,625.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.36 / $3,021.04 / $3,111.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.35 / $2,843.49 / $5,813.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.35 / $2,087.09 / $3,001.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.04 / $3,021.04 / $3,111.67
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,021.04 / $3,021.04 / $3,021.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.04 / $3,021.04 / $3,021.04