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Hawaii rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $288.40
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $295.12 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $257.04 / $288.40