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Montana rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Facilitymedian $105 · 10th–90th $66–$1070%50%10th90th$105Professionalmedian $105 · 10th–90th $66–$1070%50%10th90th$105$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $104.71 / $107.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $104.71 / $107.15