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Tennessee rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $263.03 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $97.72 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $95.50