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Rhode Island rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.09 / $488.09 / $488.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.14 / $120.14 / $127.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.08 / $135.08 / $150.09
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
$125.15 / $125.15 / $125.15