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Missouri rates for HCPCS J9273

Injection, tisotumab vedotin-tftv, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $223.87 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $199.53 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $208.93 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $194.98 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $223.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $213.80 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $199.53 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $229.09 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $194.98 / $218.78