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Wyoming rates for HCPCS J2997

Alteplase Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.15 / $480.30 / $644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.20 / $656.20 / $656.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.44 / $111.10 / $111.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.10 / $89.10 / $89.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $133.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $94.45