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Illinois rates for HCPCS J3241

Injection Teprotumumab-Trbw 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $546.35 / $1,263.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.09 / $359.19 / $441.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.73 / $1,418.44 / $7,029.08
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.31 / $432.45 / $707.63
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.95 / $466.95 / $466.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.96 / $358.96 / $358.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $389.21