go back

Idaho rates for HCPCS J2993

Reteplase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,081.45 / $3,081.45 / $3,081.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,900.19 / $3,081.45 / $3,117.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,081.45 / $3,081.45 / $3,081.45
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
$1,286.99 / $3,117.71 / $4,458.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.73 / $982.73 / $1,148.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,819.69 / $4,028.13 / $6,847.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,081.45 / $3,081.45 / $3,851.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.04 / $3,021.04 / $4,143.43