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Arkansas rates for HCPCS J2997

Alteplase Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.98 / $146.86 / $402.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $95.39 / $113.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.14 / $102.14 / $102.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.91 / $102.14 / $102.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.87 / $90.98 / $94.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $94.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.73 / $94.45 / $94.45