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Illinois rates for HCPCS J3101

Injection Tenecteplase 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.94 / $301.39 / $7,485.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.94 / $172.22 / $208.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.80 / $237.62 / $1,781.23
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.19 / $189.44 / $267.32
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.89 / $223.89 / $223.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $225.68