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Pennsylvania rates for HCPCS J2995

Injection, streptokinase, per 250,000 IU

Insurance Carrier
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $125.89