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Massachusetts rates for HCPCS J9173

Inj., durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $120.12 / $30,707.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $107.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.95 / $228.12 / $425.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $87.61 / $370.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.25 / $104.53 / $203.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.38 / $140.02 / $185.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.88 / $85.12 / $85.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.12
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $134.69 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $98.52
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,961.15 / $19,207.75 / $34,837.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.22 / $425.60 / $425.60
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $90.23 / $370.33
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.52 / $89.94 / $135.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $104.75