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Montana rates for HCPCS J3365

Injection, IV, urokinase, 250,000 IU vial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.09 / $430.09 / $430.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.73 / $457.73 / $457.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.73 / $457.73 / $457.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.17 / $518.17 / $518.17