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Nebraska rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $542.97 / $45,719.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $520.82 / $82,984.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.98 / $386.31 / $406.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.19 / $402.45 / $406.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.21 / $449.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.00 / $359.09 / $1,762.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.56 / $359.09 / $420.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.52 / $541.20 / $815.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.57 / $430.91 / $824.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.23 / $359.19 / $395.11