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Tennessee rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $181.16 / $11,960.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.25 / $106.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.87 / $85.12 / $85.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.87 / $89.27 / $102.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.88 / $85.12 / $85.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.56 / $116.38 / $425.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.33 / $370.33 / $370.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.86 / $85.12 / $95.33