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Delaware rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $295.12 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $218.78 / $281.84