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Maryland rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.82 / $243.82 / $243.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $353.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.82 / $243.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.06 / $240.06 / $240.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $287.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.15 / $243.71 / $259.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $271.30 / $294.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.06 / $240.06 / $329.16