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North Dakota rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.22 / $172.22 / $309.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $173.66 / $208.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.84 / $187.77 / $190.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.81 / $187.49 / $189.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.53 / $167.18 / $206.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.49 / $171.94 / $422.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.46 / $171.94 / $186.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.38 / $172.22 / $187.04