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Kansas 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 / $75.00 / $93.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $93.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.93 / $157.57 / $197.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.41 / $132.41 / $132.41
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
$75.00 / $93.75 / $111.89
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 / $102.09