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Maryland rates for HCPCS J9173

Inj., durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.25 / $8,160.69 / $28,060.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.96 / $199.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.25 / $85.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.88 / $83.88 / $85.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $100.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.34 / $85.12 / $92.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $94.76 / $103.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.88 / $83.88 / $115.09