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New Mexico rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $57.54 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $37.15 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $194.98 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $45.71 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $41.69 / $79.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $38.02 / $60.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $38.90