go back

West Virginia 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
$75.55 / $75.55 / $75.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.77 / $75.55 / $75.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,999.55 / $44,999.55 / $69,999.30
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 / $79.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.21 / $88.88 / $88.88