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Wyoming rates for HCPCS J9177

Injection, enfortumab vedotin-ejfv, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $36.65 / $36.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $40.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.82 / $42.14 / $42.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $34.65 / $34.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $45.06 / $51.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.74 / $36.74 / $36.74