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Texas rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $55.55 / $74.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $37.03 / $44.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.13 / $78.79 / $156.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $36.34 / $36.34
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.66 / $33.70 / $3,322.37
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.70 / $42.87 / $49.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,311.71 / $12,311.71 / $12,311.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $36.74 / $36.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $183.20 / $183.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.83 / $161.83 / $161.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $36.74 / $75.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $37.47 / $60.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $40.42 / $67.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $36.74 / $65.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $45.81
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 / $38.94 / $40.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $36.74 / $51.44