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Maine rates for HCPCS J9173

Inj., durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.48 / $12,866.67 / $15,737.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $88.52 / $103.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.70 / $94.63 / $269.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $88.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.88 / $85.12 / $85.89
Cigna
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 / $85.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.48 / $197.48 / $12,866.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $89.38 / $116.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $123.42