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Utah rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.62 / $42.62 / $28,441.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $37.10 / $45.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.69 / $48.40 / $55.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $43.99 / $49.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.51 / $75.13 / $104.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $49.80 / $52.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74