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Arizona rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.46 / $346.11 / $9,330.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.93 / $208.05 / $338.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.54 / $569.01 / $926.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.12 / $157.26 / $1,095.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.47 / $172.22 / $172.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.68 / $216.10 / $270.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.94 / $171.94 / $171.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.22 / $172.22 / $241.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22