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South Dakota 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 / $440.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.13 / $475.13 / $593.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.17 / $652.82 / $697.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.17 / $518.17 / $570.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.82 / $652.82 / $652.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.50 / $570.47 / $761.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.17 / $518.17 / $570.00