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Oklahoma rates for HCPCS J9273

Injection, tisotumab vedotin-tftv, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $213.80 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $181.97 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $204.17 / $331.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $199.53 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $194.98 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $194.98 / $218.78