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New Hampshire rates for HCPCS J9177

Injection Enfortumab Vedotin-Ejfv 0.25 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $43.99 / $45.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $36.74 / $38.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.92 / $66.13 / $160.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $36.74 / $36.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $61.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $38.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.46 / $42.30 / $3,375.00