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South Carolina rates for HCPCS J9273

Injection Tisotumab Vedotin-Tftv 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.20 / $198.20 / $800.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.96 / $190.53 / $209.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.63 / $181.15 / $319.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.76 / $210.92 / $256.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.08 / $178.08 / $188.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.76 / $188.76 / $195.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.58 / $188.76 / $299.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.58 / $138.58 / $230.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $191.37 / $245.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.44 / $200.09 / $210.13