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North Dakota 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 / $168.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $93.75 / $93.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $82.50 / $103.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $93.75 / $127.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $90.69 / $98.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $90.69 / $98.49