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Colorado rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.14 / $120.14 / $463.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.14 / $120.14 / $120.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.43 / $63.43 / $63.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.78 / $83.78 / $89.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.43 / $63.43 / $63.43
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.73 / $120.14 / $178.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.00 / $221.00 / $221.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $125.15