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Kentucky rates for HCPCS J2997

Alteplase Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.45 / $160.57 / $740.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $119.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.92 / $111.38 / $188.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.28 / $94.45 / $94.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.45 / $103.90 / $151.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $99.17 / $132.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.44 / $94.45 / $94.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.85 / $94.45 / $172.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $94.45