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Kentucky rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $359.19 / $610.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $359.19 / $362.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.63 / $423.58 / $718.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.31 / $359.19 / $359.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.19 / $390.18 / $574.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $395.11 / $553.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.23 / $359.19 / $359.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $634.22 / $634.22
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 / $384.69