TELISOTUZUMAB VEDOTIN-TLLV 100 MG IV SOLR

Payers reporting HCPCS C9306

Payer pricing summary

Low

$75

Average

$2.8k

Median

$402

High

$29.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +9 other terms	82	$144	$435	$1.7k	391%	—	$1 – $10.4k
2	Humana fee schedule · outpatient · +8 other terms	64	$144	$760	$2.5k	328%	—	$1 – $10.9k
3	Aetna fee schedule · outpatient · +9 other terms	56	$144	$763	$2.4k	320%	—	$1 – $10.4k
4	Anthem fee schedule · outpatient · +8 other terms	43	$144	$1.1k	$3.0k	271%	—	$141 – $10.4k
5	Cigna fee schedule · outpatient · +9 other terms	36	$144	$167	$39	23%	—	$141 – $299
6	Kaiser fee schedule · outpatient · +3 other terms	33	$144	$274	$251	91%	—	$141 – $1.1k
7	Molina facility · case rate · outpatient · +8 other terms	33	$5.6k	$4.4k	$3.4k	76%	—	$75 – $11.7k
8	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	30	$144	$851	$4.3k	511%	—	$75 – $31.9k
9	WellCare facility · fee schedule · outpatient · +4 other terms	29	$144	$147	$7	5%	—	$142 – $173
10	Devoted fee schedule · outpatient · +2 other terms	21	$144	$143	$2	1%	—	$141 – $150
11	Caresource facility · case rate · outpatient · +6 other terms	20	$6.7k	$5.5k	$3.6k	66%	—	$144 – $11.9k
12	Medicare fee schedule · outpatient · +4 other terms	18	$141	$141	—	—	—	$141 – $141
13	Ambetter facility · fee schedule · outpatient · +3 other terms	17	$259	$286	$57	20%	—	$144 – $348
14	Optum facility · case rate · outpatient · +6 other terms	14	$6.2k	$5.9k	$2.8k	47%	—	$144 – $10.6k
15	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$151	$151	—	—	—	$151 – $151
16	Medical Mutual facility · fee schedule · outpatient	11	$144	$176	$37	21%	—	$144 – $228
17	Sanford Health Plan fee schedule · outpatient · +4 other terms	11	$142	$142	$0	0%	—	$142 – $143
18	Clover fee schedule · outpatient · +2 other terms	9	$147	$152	$8	5%	—	$144 – $161
19	First Health percent of total billed charges · outpatientfrom % of charges · +4 other terms	9	$512	$9.2k	$15.9k	174%	—	$512 – $44.2k
20	Medica facility · fee schedule · outpatient · +4 other terms	9	$144	$145	$2	1%	—	$144 – $150
21	Ucare fee schedule · outpatient · +4 other terms	9	$144	$155	$38	25%	—	$142 – $326
22	Aetna Better Health facility · case rate · outpatient · +2 other terms	8	$5.6k	$4.9k	$1.9k	40%	—	$147 – $5.6k
23	Bcbs Mn fee schedule · outpatient · +4 other terms	8	$147	$147	—	—	—	$147 – $147
24	Bcbs Nj facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	8	$17.1k	$17.6k	$12.3k	70%	—	$5.3k – $52.2k
25	Bcbs Pa facility · percent of total billed charges · outpatientfrom % of charges	8	$27.4k	$29.1k	$27.5k	95%	—	$3.7k – $124.4k

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← Hospitals reporting HCPCS C9306 · Snapshot 20261111T120946Z-9134e7f7