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Michigan rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $489.78 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $537.03 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $251.19 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $269.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $645.65 / $794.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $251.19 / $338.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $263.03 / $295.12