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South Carolina rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $51.29 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $33.11 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $39.81 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $36.31 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $39.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $39.81 / $66.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $89.13 / $89.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.90 / $40.74