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Arizona rates for HCPCS J2995

Injection, streptokinase, per 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.31 / $187.50 / $281.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.94 / $75.94 / $91.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.50 / $79.50 / $79.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.50 / $79.50 / $79.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.53 / $108.59 / $141.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $90.69 / $90.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $90.69 / $90.69