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Arizona rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.02 / $487.42 / $731.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $246.15 / $321.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.06 / $746.09 / $1,303.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.46 / $233.96 / $257.36
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 / $243.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.82 / $280.27 / $477.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.82 / $243.82 / $529.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $271.30