go back

South Dakota 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 / $88.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.77 / $88.88 / $88.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.38 / $73.09 / $90.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.67 / $119.66 / $219.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.88 / $88.88 / $97.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.82 / $15.82 / $15.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.88 / $88.88 / $97.77