go back

Mississippi rates for HCPCS J3101

Injection Tenecteplase 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.83 / $206.33 / $206.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $180.83 / $232.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.73 / $94.73 / $104.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.85 / $172.22 / $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
$165.33 / $172.22 / $223.89