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New York rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $204.17 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $100.00 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $102.33 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $91.20
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $398.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $117.49 / $323.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $123.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $97.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $95.50 / $97.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $107.15 / $251.19
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $204.17 / $53,703.18
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 / $134.90
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $89.13 / $97.72
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $95.50 / $97.72