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Connecticut rates for HCPCS J3241

Injection Teprotumumab-Trbw 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.56 / $560.89 / $1,003.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.56 / $373.56 / $373.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.86 / $546.04 / $1,076.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.75 / $372.75 / $449.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.27 / $359.19 / $398.70