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Arizona rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.69 / $300.36 / $450.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.65 / $121.65 / $145.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.35 / $542.94 / $827.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.43 / $63.43 / $63.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.43 / $63.43 / $63.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.18 / $150.18 / $173.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $125.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $125.15