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Montana rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $25,118.86 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $87.10 / $12,302.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $186.21 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $102.33
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $87.10 / $177.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $87.10 / $177.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $102.33 / $165.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $102.33 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10