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Washington rates for HCPCS J2997

Alteplase Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.89 / $195.83 / $995.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $103.89 / $319.26
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.15 / $137.01 / $264.89
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $96.66 / $111.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.10 / $89.10 / $221.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $115.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.15 / $117.69 / $283.35
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.08 / $142.36 / $249.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $99.24 / $105.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.15 / $109.61 / $218.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $94.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $94.45