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Virginia rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.38 / $179.02 / $39,779.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.96 / $106.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $176.20 / $278.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $114.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.25 / $85.25
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.34 / $85.12 / $103.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.11 / $89.38 / $139.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.70 / $118.35 / $193.70
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $97.89 / $127.68
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $97.89 / $127.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $90.23 / $100.44