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Tennessee rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.94 / $340.44 / $7,517.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $208.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.86 / $187.86 / $187.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.10 / $812.30 / $861.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.46 / $162.46 / $162.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $225.68