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New Hampshire rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.82 / $292.58 / $300.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $273.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.38 / $380.19 / $1,003.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $243.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.92 / $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 / $408.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $258.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.83 / $238.51 / $303.56