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Idaho rates for HCPCS J3365

Injection, IV, urokinase, 250,000 IU vial

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.73 / $457.73 / $457.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.73 / $457.73 / $457.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.10 / $504.10 / $504.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.39 / $526.39 / $526.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.17 / $518.17 / $721.46