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Rhode Island rates for HCPCS J2995

Injection, streptokinase, per 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.69 / $304.69 / $304.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $79.69
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 / $79.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $90.69 / $133.34