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North Carolina rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.03 / $89.50 / $31,522.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.81 / $36.74 / $44.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.75 / $60.01 / $74.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.74 / $38.74 / $48.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $36.74 / $43.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $42.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.57 / $33.81 / $46.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $46.66 / $53.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.90 / $60.38 / $70.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $38.94 / $44.09
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $183.70 / $183.70
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.83 / $161.83 / $161.83