go back

Massachusetts rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.71 / $330.86 / $481.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $295.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.75 / $653.14 / $1,218.55
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $245.42 / $1,059.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.26 / $299.27 / $581.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.06 / $243.71 / $243.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $243.71
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.71 / $385.24 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $243.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $282.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.19 / $1,218.55 / $1,218.55
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $258.33 / $1,059.88
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.73 / $256.73 / $256.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $245.42 / $360.78