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Indiana rates for HCPCS J3350

Injection Urea Up To 40 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.09 / $71.09 / $319.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.09 / $71.09 / $71.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.40 / $2.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.55 / $75.55 / $75.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $75.55 / $207.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.88 / $88.88 / $151.10