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Vermont rates for HCPCS J3350

Injection Urea Up To 40 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $75.55 / $126.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $75.55 / $75.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $75.55 / $75.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.55 / $88.88 / $136.72