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Arizona rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.33 / $718.38 / $1,077.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $434.50 / $827.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.14 / $1,233.82 / $2,009.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.63 / $341.28 / $2,284.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.86 / $359.19 / $359.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.04 / $468.97 / $564.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.09 / $359.09 / $359.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19