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West Virginia rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $359.09 / $362.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $359.19 / $413.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.19 / $538.79 / $538.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.86 / $357.23 / $359.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $634.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $432.45