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Arkansas rates for HCPCS J3355

Injection Urofollitropin 75 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.65 / $127.65 / $127.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.65 / $124.65 / $127.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.95 / $65.95 / $65.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.95 / $65.95 / $65.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.43 / $63.43 / $88.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.43 / $63.43 / $63.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $127.65