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Pennsylvania rates for HCPCS J9272

Injection Dostarlimab-Gxly 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.26 / $570.54 / $23,173.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $246.15 / $293.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.82 / $243.82 / $243.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.72 / $264.39 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.91 / $252.91 / $252.91
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 / $252.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.72 / $239.72 / $304.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.36 / $182.36 / $610.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.26 / $531.53 / $24,349.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $246.26 / $380.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $371.16 / $484.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.92 / $243.71 / $243.71
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $259.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.97 / $223.97 / $259.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.97 / $223.97 / $259.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $258.33 / $318.04