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Ohio rates for HCPCS J2993

Injection, reteplase, 18.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.19 / $6,706.69 / $9,171.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,900.19 / $2,900.19 / $8,062.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,486.06 / $4,295.35 / $7,412.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,171.61 / $2,453.83 / $4,725.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.61 / $1,001.61 / $1,702.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.61 / $1,001.61 / $1,001.61
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 / $4,848.26
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,081.45 / $3,081.45 / $4,848.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,532.10 / $2,877.38 / $3,337.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,869.99 / $3,021.04 / $3,267.56