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Pennsylvania rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.68 / $840.27 / $1,091.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $362.78 / $827.61
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.24 / $389.69 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.75 / $372.75 / $389.69
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.12 / $430.12 / $430.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.68 / $840.27 / $1,091.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $373.70 / $1,091.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.86 / $359.19 / $359.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.88 / $321.88 / $373.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.88 / $321.88 / $373.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $496.04