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Indiana rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.68 / $825.34 / $1,632.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $362.78 / $362.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.19 / $718.38 / $951.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.31 / $359.19 / $510.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.19 / $359.19 / $496.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $448.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.19 / $359.19 / $852.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.88 / $359.19 / $945.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $445.40