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Michigan rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.14 / $120.14 / $374.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.14 / $120.14 / $120.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.16 / $236.51 / $447.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.43 / $63.43 / $127.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.14 / $150.18 / $334.29
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.14 / $150.18 / $180.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $132.77