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Idaho rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.82 / $243.82 / $280.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $253.55 / $334.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.92 / $229.92 / $243.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $243.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.82 / $304.64 / $389.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $258.33 / $304.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.44 / $216.06 / $468.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.29 / $351.74 / $591.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.45 / $292.45 / $304.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $258.33