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Louisiana rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $47.29 / $103.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $44.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.07 / $27.07 / $35.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $35.47 / $36.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,311.71 / $12,311.71 / $12,311.71
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.07 / $36.74 / $42.25