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Connecticut rates for HCPCS J3101

Injection Tenecteplase 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.11 / $273.83 / $10,500.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.11 / $179.11 / $179.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.50 / $261.81 / $516.23
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
$172.22 / $172.22 / $172.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.72 / $186.84 / $215.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $172.22 / $244.27