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New Mexico rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.91 / $132.91 / $132.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.96 / $116.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.99 / $505.17 / $848.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.56 / $78.56 / $110.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $85.12 / $104.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.68 / $123.08 / $165.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $85.12 / $108.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $104.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $90.23