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Iowa rates for HCPCS J9272

Injection Dostarlimab-Gxly 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.07 / $283.07 / $536.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $283.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.00 / $292.00 / $292.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $264.39 / $354.70
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $394.88 / $621.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.82 / $283.07 / $441.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.82 / $271.42 / $1,059.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.16 / $365.73 / $489.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.16 / $312.89 / $369.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.44 / $482.95 / $509.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $251.02 / $290.01
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.83 / $266.83 / $266.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.80 / $266.83 / $266.83