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Mississippi rates for HCPCS J3355

Injection Urofollitropin 75 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.15 / $180.22 / $180.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.15 / $127.65 / $180.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.14 / $120.14 / $132.15
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
$120.14 / $125.15 / $162.69