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South Dakota rates for HCPCS J3364

Urokinase 5000 Iu Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.60 / $8.60 / $8.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $9.38 / $11.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.36 / $13.95 / $15.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.36 / $10.36 / $11.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.45 / $15.45 / $15.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $15.45 / $15.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.36 / $10.36 / $11.40