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Georgia rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $53.89 / $68,359.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $36.74 / $44.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $58.78 / $134.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $37.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $36.74 / $58.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $36.74 / $58.78
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 / $43.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $47.65 / $75.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.90 / $62.42 / $75.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $38.74 / $46.07