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Washington rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $645.65 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $389.05 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $457.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $363.08 / $562.34
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $389.05 / $912.01
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $380.19 / $416.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $407.38 / $741.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $478.63