go back

Washington rates for HCPCS J3241

Injection Teprotumumab-Trbw 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.08 / $459.76 / $746.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $395.11 / $493.27
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.14 / $426.40 / $793.76
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $366.75 / $432.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.86 / $338.86 / $705.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $440.52
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.14 / $359.19 / $745.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.20 / $524.79 / $918.39
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.55 / $376.57 / $408.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.14 / $395.11 / $672.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19