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Kansas rates for HCPCS J3355

Injection Urofollitropin 75 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.14 / $120.14 / $150.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.14 / $120.14 / $150.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.11 / $147.63 / $155.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.59 / $130.59 / $130.59
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.73 / $120.14 / $150.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $147.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $150.18