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New Mexico rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $575.44 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $389.05 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,862.09 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $741.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $371.54 / $371.54