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Arkansas rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.45 / $292.58 / $307.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $251.02 / $292.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.52 / $264.52 / $264.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.20 / $264.52 / $264.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.92 / $243.71 / $243.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $264.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $280.27