go back

Montana rates for HCPCS J9273

Injection, tisotumab vedotin-tftv, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $199.53 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $229.09
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $186.21 / $331.13
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $186.21 / $331.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $218.78 / $363.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $229.09 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98