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Wisconsin rates for HCPCS J3241

Injection Teprotumumab-Trbw 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.86 / $700.23 / $824.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $369.97 / $827.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.99 / $664.50 / $800.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $456.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.76 / $491.76 / $574.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.67 / $420.86 / $956.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $511.54 / $581.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $359.09 / $791.24
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.64 / $718.38 / $718.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $359.09 / $791.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.09 / $359.09 / $718.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $352.56
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $359.09 / $791.24
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.64 / $718.38 / $718.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $380.74 / $1,180.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,762.80 / $1,762.80 / $1,762.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.30 / $504.30 / $504.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $754.30