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Oklahoma rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.49 / $39.60 / $55.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $37.11 / $44.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $20.88 / $32.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $34.65 / $36.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $41.58 / $58.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.83 / $36.65 / $47.06
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