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Indiana rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.03 / $88.18 / $253.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $40.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $73.48 / $88.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $50.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $36.74 / $55.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $45.93
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 / $41.60
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 / $38.94 / $42.05