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South Carolina rates for HCPCS J3101

Injection Tenecteplase 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.68 / $180.83 / $4,944.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.69 / $180.83 / $278.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.24 / $132.50 / $221.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $199.13 / $235.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.47 / $172.22 / $172.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.79 / $198.91 / $400.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.59 / $235.59 / $235.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22