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Virginia rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.58 / $77.00 / $29,448.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $44.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $76.05 / $120.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $49.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $36.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $34.65 / $36.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.23 / $36.74 / $44.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.57 / $38.58 / $58.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.96 / $52.00 / $84.07
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.74 / $42.14 / $55.11
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $42.14 / $55.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $38.94 / $42.05