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Maryland rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $36.65 / $24,290.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $60.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $36.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.64 / $36.64 / $36.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $43.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.23 / $36.74 / $38.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $40.90 / $43.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $36.65 / $49.49