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South Carolina rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $457.09 / $25,703.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $95.50 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $95.50 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $87.10 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $104.71 / $120.23
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $107.15 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $93.33 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $93.33 / $102.33