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Nebraska rates for HCPCS J3365

Injection, IV, urokinase, 250,000 IU vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.99 / $995.99 / $1,145.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.99 / $995.99 / $1,145.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.65 / $518.20 / $518.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.29 / $513.01 / $518.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.73 / $475.13 / $593.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.17 / $1,313.95 / $1,313.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.17 / $518.17 / $570.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.47 / $652.82 / $761.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.27 / $627.53 / $761.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.27 / $518.17 / $518.17