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South Carolina rates for HCPCS J9272

Injection Dostarlimab-Gxly 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.90 / $255.90 / $29,952.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.92 / $246.15 / $295.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.38 / $255.89 / $411.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $274.29 / $333.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.92 / $243.71 / $288.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $252.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.45 / $243.71 / $396.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.45 / $190.45 / $376.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.16 / $251.82 / $599.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.15 / $258.33 / $284.01