go back

Oklahoma rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $387.82 / $659.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.93 / $387.93 / $387.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.51 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.86 / $338.86 / $359.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $387.82 / $554.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.56 / $359.09 / $359.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $380.74