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New York rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $123.03 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $87.10 / $12,302.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $81.28
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $97.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $104.71 / $295.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $93.33 / $112.20
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $89.13
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $89.13 / $89.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $87.10 / $104.71
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $100.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $89.13 / $89.13