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Idaho rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.25 / $119.84 / $21,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $93.63 / $12,226.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.30 / $80.30 / $85.12
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
$85.25 / $106.40 / $136.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $90.23 / $106.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.74 / $75.48 / $163.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.74 / $110.52 / $204.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.63 / $102.14 / $102.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $90.23