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Louisiana rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.18 / $150.18 / $210.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.18 / $150.18 / $150.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.92 / $50.36 / $135.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.16 / $135.16 / $137.86
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $150.18