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North Dakota rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $85.12 / $153.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.96 / $107.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.35 / $92.81 / $94.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.77 / $92.81 / $94.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.98 / $101.98 / $117.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $86.32 / $108.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.73 / $88.66 / $153.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.25 / $94.90 / $370.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $102.91