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Kansas rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.76 / $3,000.00 / $20,497.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $186.00 / $241.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.44 / $184.78 / $196.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.86 / $185.86 / $185.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.47 / $162.47 / $172.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.83 / $177.08 / $240.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.46 / $171.94 / $189.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $260.20