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Nebraska rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $251.19 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $190.55 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $213.80 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $204.17 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $190.55 / $239.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $199.53 / $812.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $173.78 / $190.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $251.19 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $186.21 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $186.21 / $269.15