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New Jersey rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.65 / $179.99 / $311.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.62 / $124.65 / $127.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.92 / $63.43 / $69.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.43 / $63.43 / $63.43
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.65 / $127.65 / $127.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $150.18