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Montana rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $251.19 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $549.54 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $295.12
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $457.09
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $457.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $281.84 / $457.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $295.12 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47