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Georgia rates for HCPCS J3240

Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,113.23 / $4,874.25 / $9,179.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,137.48 / $2,557.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.32 / $3,445.37 / $7,766.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,693.05 / $2,116.32 / $2,116.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $4,147.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.53 / $1,996.53 / $2,116.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,116.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.13 / $1,249.13 / $2,274.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,558.80