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Utah rates for HCPCS J9272

Injection, dostarlimab-gxly, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.70 / $282.70 / $282.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $292.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.83 / $341.08 / $364.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $243.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $280.26 / $324.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.05 / $477.67 / $685.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.08 / $330.33 / $347.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $243.71