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Ohio rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.14 / $293.00 / $379.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.14 / $120.14 / $333.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.43 / $73.56 / $125.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.93 / $53.93 / $72.81
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 / $200.84
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.43 / $63.43 / $200.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.15 / $125.15 / $135.36