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Hawaii rates for HCPCS J9273

Injection, tisotumab vedotin-tftv, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $223.87
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $234.42 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $194.98 / $218.78