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West Virginia rates for HCPCS J2993

Reteplase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,081.45 / $3,081.45 / $3,625.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,008.95 / $3,081.45 / $3,081.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.73 / $978.60 / $1,712.55
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 / $4,604.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.68 / $3,021.04 / $3,625.24