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Maryland rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $359.09 / $359.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $359.19 / $435.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.09 / $359.09 / $359.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $457.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $389.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $582.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.10 / $347.10 / $347.10