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Urofollitropin Injection

Indiana rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Rates data updated October 2026.

How much rates vary

Facilitymedian $105 · 10th to 90th $52 to $309
$100$200facility $105

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CareSource
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$93.33
Typical High
$104.71
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$309.03