go back

Nebraska rates for HCPCS J2993

Injection, reteplase, 18.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.19 / $6,323.86 / $8,013.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,900.19 / $2,900.19 / $4,867.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.49 / $2,605.92 / $2,605.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,475.69 / $2,579.92 / $2,605.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,367.00 / $2,958.75 / $3,081.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.57 / $3,625.24 / $13,885.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,718.94 / $3,021.04 / $3,625.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.81 / $3,455.47 / $5,813.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.35 / $1,933.41 / $3,095.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,869.99 / $3,021.04 / $3,323.14