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Massachusetts rates for HCPCS J3355

Injection Urofollitropin 75 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.65 / $127.65 / $300.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.65 / $127.65 / $127.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.18 / $150.18 / $663.30
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $187.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.06 / $80.94 / $172.53
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.18 / $150.18 / $663.30
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $187.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $175.22