go back

Alaska rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.51 / $156.97 / $555.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $93.63 / $158.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.97 / $158.32 / $221.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $170.24
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.61 / $138.69 / $217.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.07 / $118.88 / $118.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $158.32 / $221.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $99.68 / $115.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.23 / $127.68 / $255.36