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North Dakota rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $36.74 / $65.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $44.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.86 / $40.06 / $40.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $40.06 / $40.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $37.72 / $47.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.06 / $40.21 / $66.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $40.81 / $161.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $44.42