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Alaska rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.08 / $661.23 / $2,337.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $359.18 / $827.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.38 / $955.38 / $955.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $1,156.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.91 / $571.79 / $898.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.38 / $786.34 / $1,297.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $389.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $538.79 / $724.56