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Vermont rates for HCPCS J9173

Inj., durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $199.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.36 / $96.36 / $96.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.30 / $94.94 / $158.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $158.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.30 / $94.94 / $158.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $158.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $90.23 / $196.66