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North Carolina rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.89 / $20,633.33 / $38,881.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.56 / $85.89 / $148.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.25 / $85.25 / $85.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.21 / $139.53 / $223.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.76 / $90.07 / $99.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.30 / $85.12 / $100.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $103.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.56 / $81.11 / $114.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.11 / $113.00 / $122.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.19 / $140.01 / $163.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $90.23 / $102.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.22 / $116.38 / $425.60
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.33 / $370.33 / $370.33