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Michigan rates for HCPCS J2993

Injection, reteplase, 18.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.19 / $2,900.19 / $9,048.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,900.19 / $2,900.19 / $2,900.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,716.73 / $6,695.50 / $12,665.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,910.15 / $3,063.32 / $3,063.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,803.81 / $3,081.45 / $3,081.45
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.19 / $3,625.24 / $8,069.78
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,900.19 / $3,202.30 / $3,842.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.04 / $3,021.04 / $3,205.02