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California rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.22 / $354.77 / $10,048.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $173.93 / $338.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $275.08 / $616.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.94 / $172.22 / $377.95
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $100.00 / $199.13
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.47 / $175.47 / $433.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.47 / $162.47 / $172.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $206.66 / $390.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.10 / $812.30 / $861.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.47 / $172.22 / $244.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $372.51
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.07 / $230.07 / $230.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $353.98