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Illinois rates for HCPCS J3364

Injection, urokinase, 5,000 IU vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $18.13 / $18.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.60 / $8.81 / $10.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.84 / $62.70 / $188.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.16 / $9.16 / $9.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.16 / $9.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.74 / $84.92 / $200.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.64 / $57.64 / $57.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.36 / $10.36 / $10.99