go back

Maine rates for HCPCS J3364

Injection, urokinase, 5,000 IU vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.04 / $24.04 / $25.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $8.81 / $8.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $8.81 / $8.81
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.04 / $24.04 / $25.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $8.81 / $25.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $10.36 / $15.54