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Iowa rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.14 / $288.66 / $446.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.14 / $120.14 / $120.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.25 / $71.03 / $81.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.13 / $128.68 / $150.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $84.00 / $190.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.06 / $125.15 / $137.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.03 / $83.48 / $112.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.03 / $95.32 / $153.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $128.90