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Idaho rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $36.65 / $21,929.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $37.10 / $45.93
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 / $36.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $45.93 / $58.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $44.09 / $45.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $32.97 / $71.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.93 / $48.76 / $87.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $44.09 / $44.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $38.94