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Iowa rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $158.49 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $120.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $95.50 / $181.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $93.33 / $134.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $93.33 / $138.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $120.23 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $93.33 / $97.72
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50