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Alaska rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $812.83 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $812.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $302.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $154.88 / $245.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $251.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $141.25 / $3,388.44