go back

Rhode Island rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $169,824.37 / $169,824.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $66,069.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $371.54 / $371.54
Cigna
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
$371.54 / $371.54 / $371.54