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Utah rates for HCPCS J3241

Injection Teprotumumab-Trbw 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.66 / $416.66 / $70,889.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.66 / $416.66 / $416.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.04 / $458.43 / $527.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.19 / $359.19 / $885.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.23 / $359.19 / $359.19