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Virginia 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
$79.69 / $87.02 / $172.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.69 / $79.69 / $79.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.50 / $79.50 / $79.50
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.79 / $103.63 / $106.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.75 / $93.75 / $121.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.97 / $90.69 / $90.69