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Vermont rates for HCPCS J9272

Injection Dostarlimab-Gxly 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $295.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.89 / $275.89 / $275.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.92 / $271.85 / $453.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $453.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.92 / $271.85 / $453.08
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $243.71 / $453.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $258.33 / $564.02