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Arkansas rates for HCPCS J2995

Injection Streptokinase Per 250 000 Iu (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.69 / $79.69 / $79.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.81 / $77.81 / $79.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.68 / $82.68 / $82.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.68 / $82.68 / $82.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.09 / $79.50 / $82.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.50 / $79.50 / $79.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.78 / $90.69 / $90.69