go back

Minnesota rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $190.55 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $323.59 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $169.82 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $537.03 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $239.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $512.86 / $602.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $257.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $173.78 / $398.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $338.84