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Maine 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
$206.20 / $206.20 / $222.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $75.55 / $75.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $24.91
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $75.55 / $91.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.20 / $206.20 / $222.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $75.55 / $222.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $88.88 / $133.32