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Indiana rates for HCPCS J3365

Injection, IV, urokinase, 250,000 IU vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.54 / $414.54 / $414.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $457.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.62 / $457.73 / $617.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.73 / $679.73 / $679.73
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 / $1,258.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.17 / $518.17 / $642.54