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Utah 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
$73.77 / $73.77 / $73.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.77 / $73.77 / $73.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $75.55 / $75.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.44 / $88.88 / $88.88