go back

Louisiana rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.94 / $177.39 / $379.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.94 / $173.94 / $208.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.71 / $178.71 / $268.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.71 / $178.71 / $182.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $4,281.18 / $4,281.18
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $265.51