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Maryland rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $309.03 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $102.33 / $316.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $120.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $93.33 / $100.00
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 / $112.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20