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Arkansas rates for HCPCS J3241

Injection Teprotumumab-Trbw 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.95 / $431.03 / $431.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $425.81 / $431.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.57 / $389.57 / $389.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.87 / $389.57 / $389.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.80 / $359.19 / $359.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $367.58