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Missouri rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $420.27 / $441.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $369.97 / $435.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.19 / $610.62 / $1,290.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $448.99
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $402.26 / $1,762.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.23 / $359.09 / $412.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.96 / $358.96 / $358.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.31 / $359.19 / $432.45