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Utah rates for HCPCS J9273

Injection, tisotumab vedotin-tftv, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $199.53 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $245.47 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $199.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $295.12 / $602.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $223.87 / $275.42
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $204.17 / $204.17
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $190.55 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98