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Ohio rates for HCPCS J2995

Injection, streptokinase, per 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $194.06 / $312.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $208.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.50 / $79.69 / $126.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.83 / $64.83 / $87.52
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 / $125.38
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.50 / $79.50 / $125.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $90.69 / $118.08