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Wyoming rates for HCPCS J3101

Injection, tenecteplase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.94 / $171.94 / $171.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.94 / $171.94 / $172.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.26 / $199.13 / $199.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.47 / $162.47 / $162.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $243.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.22 / $172.22 / $172.22