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Missouri rates for HCPCS J2993

Injection, reteplase, 18.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,630.78 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,019.95 / $4,897.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,090.30 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,467.37 / $13,803.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,019.95 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,019.95 / $3,548.13