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North Dakota rates for HCPCS J3241

Injection Teprotumumab-Trbw 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.19 / $359.19 / $646.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $359.19 / $434.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.69 / $391.64 / $396.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.24 / $391.05 / $394.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.96 / $365.96 / $420.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.21 / $359.21 / $449.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.00 / $359.09 / $610.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.56 / $359.09 / $389.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.31 / $359.19 / $390.10