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South Carolina rates for HCPCS J9173

Inj., durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.38 / $14,486.54 / $38,547.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.96 / $107.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.87 / $83.87 / $85.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.64 / $92.96 / $157.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $97.92 / $117.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.30 / $85.12 / $100.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $88.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.11 / $85.12 / $144.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.11 / $81.11 / $134.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $89.51 / $212.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.34 / $90.23 / $111.82