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Vermont rates for HCPCS J9273

Injection Tisotumab Vedotin-Tftv 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.76 / $188.76 / $228.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.69 / $213.69 / $213.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.08 / $213.57 / $355.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.76 / $188.76 / $355.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.08 / $213.57 / $355.95
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.76 / $188.76 / $355.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.72 / $200.09 / $436.11