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Kansas rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.27 / $420.27 / $1,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $366.38 / $502.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.70 / $389.73 / $410.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.30 / $371.30 / $371.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.86 / $338.86 / $359.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $382.09 / $502.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.56 / $359.09 / $396.29
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 / $432.45