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Utah rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.74 / $34,562.35 / $38,404.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $87.67 / $12,226.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.12 / $118.02 / $127.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.25 / $113.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.63 / $170.29 / $237.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.63 / $115.37 / $121.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.12