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Arizona rates for HCPCS J9273

Injection, tisotumab vedotin-tftv, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $363.08 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $199.53 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $302.00 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $218.78 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $208.93 / $354.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $194.98 / $218.78