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Maine rates for HCPCS J2997

Alteplase Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.02 / $487.84 / $3,835.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $98.22 / $129.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.40 / $114.73 / $299.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $94.45
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $114.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.12 / $394.07 / $1,499.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $98.26 / $191.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $165.29