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Maine rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.46 / $565.41 / $609.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.15 / $253.46 / $295.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.76 / $270.93 / $772.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $252.91
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $243.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.41 / $565.41 / $609.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.15 / $255.90 / $334.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $365.57