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Rhode Island rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.64 / $276.64 / $12,150.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $88.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.25 / $85.25 / $90.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $95.33