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Massachusetts rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $51.65 / $13,194.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $42.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.54 / $98.46 / $183.70
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $161.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.39 / $45.12 / $87.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $36.74 / $36.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.39 / $73.31 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $42.52
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,814.86 / $3,814.86 / $7,531.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $183.70 / $183.70
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $38.94 / $161.83
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $39.75 / $51.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $47.59