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Iowa 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
$75.00 / $180.20 / $278.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $85.39 / $103.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.13 / $139.71 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.39 / $113.88 / $169.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $90.69 / $148.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.39 / $100.37 / $153.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.39 / $125.14 / $184.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $90.69 / $96.21