go back

Indiana rates for HCPCS J2993

Injection, reteplase, 18.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.19 / $7,250.50 / $13,050.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,900.19 / $2,900.19 / $2,900.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,301.91 / $4,603.82 / $8,005.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,899.07 / $2,301.91 / $3,268.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.70 / $1,013.70 / $1,317.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.36 / $1,013.70 / $1,621.92
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
$2,301.91 / $3,081.45 / $8,473.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.04 / $3,021.04 / $3,746.09