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Wyoming rates for HCPCS J9173

Injection, durvalumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.25 / $25,065.71 / $25,065.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.97 / $98.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.61 / $103.07 / $103.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.30 / $80.30 / $80.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $104.39 / $120.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $85.12 / $85.12