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Montana rates for HCPCS J3241

Injection Teprotumumab-Trbw 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $434.50 / $82,984.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.72 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.46 / $402.46 / $402.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $402.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.46 / $402.46 / $402.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $389.69 / $508.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19