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Nebraska rates for HCPCS J9273

Injection, tisotumab vedotin-tftv, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $288.40 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $204.17 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $234.42 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $213.80 / $281.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $223.87 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $208.93 / $794.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $281.84 / $281.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $194.98 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $194.98 / $234.42