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Massachusetts rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.22 / $239.39 / $14,320.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $179.11 / $206.33
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.87 / $431.24 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $225.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.79 / $219.75 / $468.44
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.94 / $271.67 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $357.67
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,248.95 / $10,033.36 / $31,770.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.08 / $229.08 / $861.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $258.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $241.11