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Wyoming rates for HCPCS J2997

Injection, alteplase recombinant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $537.03 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $288.40 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $117.49 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33