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North Carolina rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.00 / $361.81 / $91,142.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.00 / $359.19 / $435.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.74 / $699.54 / $739.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.41 / $379.41 / $379.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.86 / $359.19 / $359.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $432.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.00 / $427.44 / $462.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.88 / $321.88 / $321.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.96 / $358.96 / $358.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $466.95
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.79 / $477.79 / $1,795.95