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Illinois rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $257.04 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $97.72 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $199.53 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $117.49 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $131.83 / $251.19
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
$123.03 / $123.03 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $100.00