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Maine rates for HCPCS J9273

Injection, tisotumab vedotin-tftv, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $489.78 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $229.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $229.09 / $616.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $199.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $489.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $204.17 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $234.42