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Georgia rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.65 / $124.65 / $124.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.14 / $124.65 / $124.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.43 / $142.66 / $142.66
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.41 / $97.41 / $127.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $150.18