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North Dakota rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.14 / $120.14 / $270.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.14 / $150.18 / $150.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.25 / $65.25 / $81.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.79 / $150.18 / $204.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $135.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.38 / $125.15 / $135.91