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Colorado rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.21 / $342.16 / $15,772.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $173.93 / $208.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.44 / $302.38 / $551.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.47 / $162.47 / $236.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.09 / $182.55 / $285.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.16 / $189.44 / $282.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22