go back

Michigan rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.67 / $12,077.25 / $16,432.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.97 / $103.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.25 / $85.25 / $150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.58 / $174.65 / $353.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.38 / $90.19 / $117.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $93.63 / $127.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $89.38 / $197.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $100.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.67 / $171.23 / $12,787.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $87.67 / $110.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.87 / $92.25 / $125.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $94.76 / $105.56