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Utah rates for HCPCS J2997

Alteplase Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.56 / $441.69 / $938.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.56 / $109.56 / $613.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.01 / $130.11 / $138.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $94.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.01 / $184.51 / $264.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.73 / $94.45 / $94.45