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Louisiana rates for HCPCS J9173

Inj., durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $119.35 / $260.88
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 / $85.25 / $150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $62.18 / $81.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.34 / $81.34 / $82.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,593.20 / $8,593.20 / $8,593.20
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.61 / $85.12 / $102.38