go back

Oregon 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
$88.88 / $88.88 / $177.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.77 / $73.77 / $88.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.10 / $151.10 / $151.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $75.55 / $75.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.77 / $105.49 / $158.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.77 / $105.49 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $75.55 / $75.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.88 / $88.88 / $88.88