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Louisiana rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.71 / $314.52 / $687.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $246.15 / $292.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.34 / $238.34 / $357.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.34 / $238.34 / $243.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,809.45 / $16,809.45 / $16,809.45
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.34 / $243.71 / $280.51