Inj follitropin alfa 75 iu cost in California

Inj follitropin alfa 75 iu · HCPCS S0126

Hospital City Cash price Negotiated range Payers
Providence Saint John's Health Center Santa Monica not published $215.64 – $490.22 4
Providence St Joseph Hospital Orange Orange not published $128.49 – $128.49 1
Providence Mission Hospital - Mission Viejo Mission Viejo not published $130.10 – $130.10 1
Santa Rosa Memorial Hospital Santa Rosa not published $105.68 – $105.68 1
St Jude Medical Center Fullerton not published $131.72 – $131.72 1
Providence Saint Joseph Medical Center Burbank not published $246.34 – $490.22 3
Redwood Memorial Hospital Fortuna not published $127.23 – $127.23 1
Healdsburg Hospital Healdsburg not published $246.34 – $481.08 3
Providence St Joseph Hospital Eureka Eureka not published $126.91 – $126.91 1
Queen of The Valley Medical Center Napa not published $106.40 – $106.40 1
Providence Little Company of Mary Med Center Torrance Torrance not published $246.34 – $490.22 3
Providence Little Co of Mary Med Center San Pedro San Pedro not published $246.34 – $490.22 3
Providence Holy Cross Medical Center Mission Hills not published $246.34 – $490.22 3
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $246.34 – $490.22 3
Petaluma Valley Hospital Petaluma not published $98.29 – $98.29 1