go back

South Carolina rates for HCPCS J3241

Injection Teprotumumab-Trbw 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.15 / $377.15 / $1,524.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.00 / $373.70 / $493.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.29 / $393.38 / $619.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.16 / $432.45 / $495.70
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.15 / $420.27 / $873.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.79 / $552.79 / $552.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19