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Washington, DC rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.22 / $484.87 / $653.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.94 / $245.11 / $414.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.47 / $162.47 / $172.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.38 / $146.38 / $172.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.72 / $172.22 / $279.13