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Iowa rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.13 / $259.52 / $23,127.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $199.13 / $338.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.53 / $165.53 / $206.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $172.22 / $311.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $172.52 / $211.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.79 / $171.94 / $234.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.05 / $243.65 / $324.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.81 / $185.17 / $243.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.16 / $0.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.38 / $172.22 / $175.66
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.94 / $171.94 / $171.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.94 / $171.94 / $171.94