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Kansas rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.14 / $51.43 / $12,289.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $37.47 / $51.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $36.64 / $36.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.52 / $42.31 / $44.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.99 / $37.99 / $37.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $36.74 / $43.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $41.31 / $55.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $40.81 / $161.83
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 / $36.74 / $43.72