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Washington, DC rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $269.15 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $97.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $147.91 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $93.33 / $93.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $151.36