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Arizona rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.36 / $73.48 / $110.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $37.11 / $73.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.39 / $113.83 / $198.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.27 / $35.49 / $39.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $36.74 / $36.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $42.25 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $36.65 / $79.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $38.94