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Minnesota rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.18 / $150.18 / $150.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.14 / $124.65 / $150.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.11 / $183.72 / $321.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.13 / $127.66 / $127.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.77 / $207.83 / $253.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.90 / $76.56 / $82.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.17 / $189.66 / $238.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.25 / $65.25 / $88.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.31 / $76.18 / $203.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $172.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $179.47