go back

Rhode Island rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.41 / $119.41 / $29,630.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $38.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.82 / $36.65 / $38.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $40.90