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Rhode Island rates for HCPCS J3365

Injection, IV, urokinase, 250,000 IU vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.08 / $1,684.08 / $1,684.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.45 / $440.45 / $440.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.03 / $930.03 / $1,033.36
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.70 / $518.17 / $518.17