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Oklahoma rates for HCPCS J3101

Injection Tenecteplase 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.54 / $369.52 / $16,924.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.00 / $186.00 / $186.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.98 / $195.43 / $304.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.47 / $162.47 / $172.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $172.22 / $172.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.83 / $171.94 / $265.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.46 / $171.94 / $172.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $182.55