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Mississippi 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
$76.88 / $112.50 / $112.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.88 / $79.69 / $112.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.00 / $94.00 / $103.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.50 / $79.50 / $87.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.50 / $79.50 / $79.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.06 / $90.69 / $116.08