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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
$243.71 / $246.15 / $304.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.50 / $294.50 / $294.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $294.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.71 / $288.52 / $300.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $294.50 / $310.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $243.71