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Illinois rates for HCPCS J2997

Alteplase Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.45 / $260.26 / $1,031.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.15 / $94.45 / $180.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.80 / $192.78 / $1,109.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.38 / $116.75 / $116.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.45 / $94.45 / $94.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $94.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.56 / $118.20 / $235.20
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.79 / $122.79 / $122.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $100.21