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Minnesota rates for HCPCS J3101

Injection Tenecteplase 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.22 / $172.22 / $12,959.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $338.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.44 / $175.30 / $336.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.55 / $168.42 / $171.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.42 / $511.82 / $623.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.18 / $188.54 / $210.22
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.54 / $467.07 / $586.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.53 / $165.53 / $225.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $171.94 / $396.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.94 / $171.94 / $237.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $312.20