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Arkansas rates for HCPCS J9173

Inj., durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.14 / $107.42 / $20,131.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $89.38 / $103.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.25 / $85.25 / $92.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.48 / $92.48 / $92.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.03 / $92.48 / $92.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $110.83 / $127.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $197.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.59 / $83.88 / $85.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $92.35
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $98.04 / $98.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $85.12 / $97.92