go back

Arkansas rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.73 / $206.66 / $9,020.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $206.33 / $206.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.54 / $186.54 / $186.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.59 / $186.54 / $186.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.65 / $162.47 / $172.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $225.68