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Texas rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $512.86 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $95.50 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $131.83 / $524.81
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $295.12 / $7,943.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $288.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $93.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $134.90 / $302.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
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