go back

North Dakota rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.71 / $243.71 / $438.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $334.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.39 / $265.72 / $269.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.53 / $265.72 / $269.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.00 / $292.00 / $335.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $247.10 / $310.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.82 / $268.20 / $438.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.82 / $271.42 / $1,059.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $303.86