go back

Maine rates for HCPCS J2993

Injection, reteplase, 18.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,410.56 / $8,410.56 / $9,063.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,081.45 / $3,081.45 / $3,081.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,227.56 / $2,844.16 / $7,294.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,081.45 / $3,081.45 / $3,081.45
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,301.91 / $2,301.91 / $2,787.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,410.56 / $8,410.56 / $9,063.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,081.45 / $3,081.45 / $9,063.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,301.91 / $3,021.04 / $4,380.51