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Kentucky 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 / $159.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $77.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $93.75 / $93.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.62 / $79.50 / $79.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.41 / $62.41 / $112.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.05 / $61.34 / $62.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.50 / $79.50 / $82.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.50 / $149.38 / $342.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $90.69 / $90.69