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New York rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $47.66 / $15,686.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $42.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.39 / $29.39 / $36.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.82 / $36.74 / $52.68
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.19 / $30.19 / $31.70
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.19 / $30.19 / $30.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.81 / $34.65 / $36.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.13 / $57.19 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.13 / $38.13 / $44.82
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $36.74 / $37.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $37.44 / $37.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.81 / $34.65 / $47.85
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $41.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $38.51 / $49.23
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.44 / $37.44 / $37.44
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $37.44 / $37.44