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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
$2,900.19 / $3,625.24 / $4,930.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,900.19 / $2,900.19 / $3,806.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,301.91 / $4,078.40 / $8,268.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,718.93 / $2,718.93 / $3,625.24
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.19 / $3,443.98 / $13,885.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,567.88 / $3,021.04 / $3,474.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,567.88 / $3,021.04 / $3,552.74