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Vermont rates for HCPCS J9177

Injection Enfortumab Vedotin-Ejfv 0.25 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $62.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.60 / $41.60 / $41.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.03 / $38.03 / $38.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $41.48 / $69.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $69.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $41.48 / $69.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $69.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.74 / $38.94 / $84.88