go back

Kentucky rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $36.74 / $24,922.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $44.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.59 / $43.33 / $73.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $40.40 / $58.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $38.58 / $53.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.64 / $36.64 / $36.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $36.74 / $49.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $36.74 / $47.63
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 / $40.90