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Connecticut rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.21 / $53.27 / $99.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $44.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $55.39 / $110.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.13 / $38.13 / $43.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.90 / $36.74 / $40.40