go back

Wyoming 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 / $2,113.23 / $2,113.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,113.23 / $2,113.23 / $2,116.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.57 / $2,426.55 / $2,426.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.53 / $1,996.53 / $1,996.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,994.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,116.32