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Oregon rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $186.21 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $97.72 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $128.82 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $102.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $204.17 / $239.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $100.00 / $199.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $100.00 / $144.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $117.49 / $194.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $128.82 / $269.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $95.50 / $107.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $144.54 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33