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Kentucky rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.94 / $172.22 / $292.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.96 / $203.09 / $344.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.38 / $172.22 / $172.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.22 / $186.99 / $275.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $189.44 / $265.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.26 / $172.22 / $172.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.42 / $172.22 / $297.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.94 / $172.22 / $172.22