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Missouri rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $151.36 / $660.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $144.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $97.72 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $144.54