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Minnesota rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $63.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $77.62 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.90 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $125.89 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $39.81 / $47.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $120.23 / $141.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $44.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $69.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $38.90 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $54.95