go back

Arkansas rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $44.09 / $46.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $38.58 / $44.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.78 / $39.78 / $39.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $39.78 / $39.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $47.76 / $54.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $36.74 / $85.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.14 / $36.65 / $36.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $39.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.74 / $36.74 / $42.25