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Vermont rates for HCPCS J3241

Injection Teprotumumab-Trbw 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $616.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.63 / $406.63 / $406.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.86 / $399.13 / $665.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.86 / $399.13 / $665.21
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.23 / $359.19 / $552.54