go back

Nebraska rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $36.74 / $81.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $37.47 / $23,941.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $39.86 / $39.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.71 / $44.96 / $45.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $54.18 / $56.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.03 / $53.16 / $73.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $38.86 / $54.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.97 / $54.97 / $73.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.97 / $54.97 / $56.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.96 / $51.40 / $74.95
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 / $36.74 / $43.72