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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
$38.58 / $38.58 / $155.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.81 / $36.74 / $38.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.66 / $33.08 / $53.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $40.03 / $48.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $36.74 / $43.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $38.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.57 / $36.74 / $58.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $32.57 / $52.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.64 / $37.73 / $89.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.23 / $38.94 / $43.72