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Rhode Island rates for HCPCS J2997

Alteplase Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.58 / $306.95 / $582.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $95.39 / $98.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.15 / $94.15 / $99.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $94.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.10 / $94.45 / $94.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $94.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.50 / $94.45 / $94.45