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Texas rates for HCPCS J3364

Injection, urokinase, 5,000 IU vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.77 / $41.44 / $41.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.32 / $13.74 / $77.47
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $125.36 / $139.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.16 / $10.36 / $11.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.77 / $7.77 / $7.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.16 / $9.16 / $10.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.16 / $9.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.36 / $10.36 / $10.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.81 / $8.81 / $11.89