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Maine rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.32 / $833.32 / $897.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $373.70 / $493.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.59 / $436.31 / $1,138.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $434.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.32 / $833.32 / $897.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $413.06 / $897.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $538.79