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Arizona rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $158.49 / $35,481.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $87.10 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $169.82 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $95.50 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $97.72 / $158.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $85.11 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $95.50