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South Carolina rates for HCPCS J2993

Reteplase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.92 / $2,972.70 / $12,018.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,934.72 / $2,972.70 / $2,972.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.44 / $2,833.98 / $5,032.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,190.21 / $3,625.24 / $4,350.29
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,750.19 / $2,972.70 / $4,013.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,240.70 / $3,240.70 / $3,240.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,445.64 / $2,972.70 / $3,715.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.04 / $3,021.04 / $3,021.04