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North Dakota rates for HCPCS J9273

Injection, tisotumab vedotin-tftv, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $213.80 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $199.53 / $251.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $199.53 / $338.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $208.93 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $234.42