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New Hampshire rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $402.18 / $718.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $359.19 / $359.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.12 / $646.54 / $1,629.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.09 / $359.19 / $359.19
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 / $359.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.86 / $583.32 / $1,108.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.70 / $426.19 / $3,000.00