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Hawaii rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.76 / $643.76 / $643.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $373.70 / $493.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.58 / $367.58 / $367.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.11 / $431.03 / $502.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $416.52 / $538.79
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.88 / $402.35 / $447.76