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Urofollitropin Injection

Wisconsin rates for HCPCS J3355

Injection, urofollitropin, 75 IU

Rates data updated October 2026.

How much does Urofollitropin Injection cost?

$126per 75 IU

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $126 for each 75 IU of this drug. The price depends on where it is billed: about $126 from a physician practice, and about $126 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 75 IU. Enter the amount given to see what insurers have agreed to pay for it.

IU
In a doctor's office or clinic
$126
At a hospital outpatient department
$126

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$117 to $151
FacilityA hospital or hospital-owned outpatient department$126$67.61 to $158

How much rates vary

Facilitymedian $126 · 10th to 90th $63 to $178Professionalmedian $126 · 10th to 90th $105 to $170
$50$100$200facility $126professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$158.49
Typical High
$177.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$104.71
Typical High
$117.49
DeanCare
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$81.28
Typical High
$151.36
DeanCare
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Medica
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$81.28
Typical High
$151.36
Medica
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$169.82
Network Health
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Prevea360
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$81.28
Typical High
$151.36
Prevea360
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02

Where Wisconsin sits

The same service costs 4.9 times more in Colorado than in Washington. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 14th of 32

$126

CO $219WA $44.67

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.