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Hawaii rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.43 / $63.43 / $63.43
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.01 / $71.01 / $71.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.14 / $125.15 / $187.73
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.43 / $70.43 / $70.43