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Utah rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.78 / $199.78 / $18,666.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.78 / $199.78 / $199.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.02 / $223.90 / $246.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.91 / $318.08 / $456.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.61 / $172.22 / $172.22