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Texas rates for HCPCS J3241

Injection Teprotumumab-Trbw 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.18 / $562.15 / $783.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $362.78 / $493.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.64 / $890.00 / $1,775.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.72 / $353.72 / $353.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,272.12 / $31,272.12 / $31,272.12
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.97 / $1,762.80 / $1,795.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $513.64 / $529.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.32 / $359.19 / $650.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.86 / $359.19 / $518.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.30 / $359.19 / $628.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.10 / $347.10 / $484.91