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Minnesota 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
$93.75 / $93.75 / $93.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $77.81 / $93.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.70 / $125.85 / $220.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.95 / $87.45 / $87.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.69 / $262.77 / $319.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.33 / $96.80 / $104.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.71 / $239.80 / $300.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $82.50 / $112.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.58 / $112.32 / $158.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $90.69 / $125.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $90.69 / $163.24