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Tennessee rates for HCPCS J2995

Injection, streptokinase, per 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.81 / $101.15 / $154.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $77.81 / $77.81
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.37 / $403.61 / $403.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $90.69 / $90.69