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Massachusetts 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 / $187.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.69 / $79.69 / $79.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.37 / $141.37 / $403.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $90.69 / $136.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.30 / $101.44 / $216.24
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.37 / $141.37 / $403.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $90.69 / $136.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $90.69 / $126.97