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California rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $316.23 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $114.82 / $436.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $114.82 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $97.72 / $208.93
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $91.20 / $181.97
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $120.23 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $102.33 / $213.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $144.54 / $239.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $117.49
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $104.71 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $295.12 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $204.17