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West Virginia rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.25 / $93.78 / $94.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $94.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $85.25 / $127.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $110.42 / $197.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.30 / $85.89 / $85.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $88.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.16 / $135.16 / $412.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $93.63 / $103.07