go back

West Virginia rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $363.08 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $107.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $141.25 / $141.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $93.33 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $398.11 / $398.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $93.33 / $112.20