go back

Wyoming rates for HCPCS J3241

Injection, teprotumumab-trbw, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $359.09 / $359.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.09 / $359.09 / $359.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.58 / $432.45 / $432.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.86 / $338.86 / $338.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $508.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.19 / $359.19 / $359.19