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Nebraska rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.94 / $305.45 / $12,959.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.94 / $172.22 / $338.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.22 / $185.22 / $194.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.91 / $192.69 / $194.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.53 / $172.22 / $206.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.11 / $176.64 / $812.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.75 / $171.94 / $189.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.13 / $243.65 / $324.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.71 / $185.17 / $319.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.61 / $172.22 / $189.44