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Massachusetts 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
$75.55 / $75.55 / $177.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $75.55 / $75.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.23 / $100.00 / $219.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.23 / $88.88 / $124.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.60 / $107.75 / $229.68
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 / $75.55
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $75.55 / $160.16
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $88.88 / $133.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $88.88 / $124.44