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Montana rates for HCPCS J9273

Injection Tisotumab Vedotin-Tftv 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.76 / $209.71 / $73,863.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.20 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.36 / $231.36 / $231.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.76 / $188.76 / $231.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.76 / $210.33 / $231.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.76 / $227.00 / $240.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.76 / $188.76 / $188.76