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North Carolina rates for HCPCS J9273

Injection, tisotumab vedotin-tftv, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $190.55 / $97,723.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $371.54 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $208.93 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $223.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $194.98 / $295.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $263.03 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $309.03 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $208.93 / $218.78
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33