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Texas 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
$71.09 / $80.17 / $170.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.09 / $72.88 / $99.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $75.55 / $75.55
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $203.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.10 / $101.67 / $104.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.66 / $66.66 / $66.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.55 / $75.55 / $104.22
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
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $2.29