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Indiana rates for HCPCS J9173

Inj., durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.97 / $239.55 / $24,297.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.96 / $103.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $170.24 / $205.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $117.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $85.25 / $127.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $106.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $96.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $91.16 / $98.59