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Oregon rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.94 / $211.83 / $344.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.21 / $173.94 / $338.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.47 / $229.86 / $324.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $186.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.67 / $377.83 / $437.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.35 / $219.04 / $370.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.18 / $182.55 / $223.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.47 / $172.22 / $357.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.47 / $229.86 / $370.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.14 / $186.84 / $203.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.47 / $246.61 / $495.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $198.05