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California rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $73.31 / $201.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $37.11 / $98.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.97 / $58.68 / $132.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $38.04 / $80.70
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.82 / $40.03 / $84.28
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.44 / $39.31 / $97.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $34.65 / $36.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $42.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $36.65 / $49.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.07 / $44.09 / $77.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $183.20 / $183.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.83 / $161.83 / $161.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.13 / $75.13 / $75.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $38.21 / $62.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $45.93
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.76 / $49.76 / $49.76
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.39 / $36.74 / $55.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $63.95