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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
$371.54 / $831.76 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $407.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $549.54 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $707.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $537.03 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $436.52