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Illinois rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.82 / $294.89 / $636.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.82 / $295.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.75 / $965.83 / $4,606.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.67 / $305.68 / $310.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.71 / $243.71 / $243.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $288.73
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.52 / $365.57 / $616.64
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.82 / $316.82 / $316.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.14 / $336.20 / $360.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $258.33 / $282.48