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Virginia rates for HCPCS J9273

Injection, tisotumab vedotin-tftv, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $407.38 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $239.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $380.19 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $323.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $194.98 / $263.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $208.93 / $331.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $194.98 / $194.98
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $208.93 / $288.40
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $208.93 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $194.98 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $208.93 / $218.78