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Alaska rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $239.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $43.65 / $91.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $45.71 / $91.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $58.88 / $93.33
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $50.12 / $50.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $48.98 / $67.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $54.95 / $102.33