go back

Missouri rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $44.25 / $57.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $37.47 / $57.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $36.64 / $36.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $49.60 / $131.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $45.93
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 / $45.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $42.14 / $73.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.83 / $38.84 / $161.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.90 / $36.74 / $42.51