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Louisiana rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $208.93 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $102.33
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $93.33 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $93.33 / $102.33