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Oklahoma rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $338.84 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $91.20 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $93.33 / $93.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $97.72 / $186.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $93.33 / $95.50
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 / $93.33