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South Carolina 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
$72.88 / $72.88 / $294.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.88 / $75.55 / $75.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.13 / $79.95 / $127.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.80 / $58.80 / $58.80
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.88 / $87.46 / $146.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.88 / $88.88 / $88.88