go back

Louisiana rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $369.97 / $793.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $359.19 / $434.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.36 / $278.50 / $371.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.94 / $371.94 / $379.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,272.12 / $31,272.12 / $31,272.12
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $432.45