go back

New Mexico rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.12 / $380.12 / $380.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $246.15 / $309.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.75 / $1,320.38 / $2,151.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.92 / $223.92 / $298.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.61 / $243.71 / $300.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $243.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.06 / $324.08 / $420.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.71 / $243.71 / $309.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $300.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $258.33