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Missouri rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Facilitymedian $174 · 10th–90th $95–$1,2020%10%20%10th90th$174Professionalmedian $105 · 10th–90th $93–$2950%20%40%10th90th$105$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $199.53 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $112.20 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $95.50 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $165.96 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $112.20 / $707.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $93.33 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $112.20 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $93.33 / $109.65