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Rhode Island rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $436.52 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $95.50 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33