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Washington, DC 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
$127.65 / $127.65 / $127.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.14 / $120.14 / $120.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.43 / $63.43 / $63.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.19 / $145.19 / $145.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.89 / $125.15 / $202.84