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Massachusetts rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.19 / $359.19 / $718.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $373.56 / $493.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.88 / $873.19 / $1,190.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $442.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.41 / $458.33 / $977.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $567.36 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $745.97
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,442.08 / $13,442.08 / $13,442.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.79 / $477.79 / $1,795.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $538.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $442.03