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Minnesota rates for HCPCS J9173

Inj., durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.25 / $199.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.77 / $79.73 / $204.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.61 / $86.82 / $89.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.00 / $119.39 / $229.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.46 / $96.92 / $108.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.94 / $101.98 / $101.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.46 / $85.46 / $101.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.25 / $85.25 / $188.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.25 / $94.90 / $219.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $90.23 / $162.84