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Kansas rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.32 / $143.76 / $23,928.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $93.63 / $17,986.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.25 / $85.25 / $85.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.77 / $94.34 / $99.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.15 / $88.15 / $88.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.30 / $85.12 / $99.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.25 / $94.76 / $130.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.25 / $94.90 / $370.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $90.23 / $101.29