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Oklahoma rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.51 / $92.07 / $20,317.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $86.82 / $119.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $85.25 / $114.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.31 / $97.98 / $153.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.30 / $80.30 / $85.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.64 / $92.07 / $136.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.52 / $85.25 / $107.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $101.29