HCPCS code J9272: Dostarlimab injection, per 10 mg2026 Medicare rate & RVUs in South Carolina

CMS doesn’t publish a rate for J9272 in South Carolina.

Check a contract rate as a % of Medicare · J9272 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What J9272 covers

Dostarlimab-gxly is an immune checkpoint inhibitor that blocks PD-1. Oncology clinicians use it in treatment regimens for certain advanced or recurrent cancers, including endometrial cancers; treatment selection may depend on tumor characteristics. It is given by intravenous infusion in settings such as hospital outpatient departments and oncology infusion centers. In some endometrial cancer regimens, it is administered with carboplatin and paclitaxel.

J9272 identifies the drug, not the infusion service, and each billing unit represents 10 mg of dostarlimab-gxly. Medicare excludes this code from the physician fee schedule under status E. When Medicare covers the drug, payment is under another method; the HCPCS pricing method identifies it as a Part B drug generally priced from CMS quarterly ASP drug files. Coverage is left to the Medicare contractor's judgment. Report the drug units based on the administered dose, and report the infusion administration separately when appropriate.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How South Carolina compares for J9272

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J9272 rates by state

Office rate range in each state. Select a state to see its payment localities.

See J9272 in every payment locality

How the J9272 rate is calculated

Each of J9272’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for J9272

J9272 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to J9272

Related codes aren’t interchangeable: bill the code that matches the service performed.

How J9272 has changed in South Carolina

Price J9272 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

• Abbeville
• Abney Crossroads
• Adams Run
• Aiken
• Alcolu
• Allendale
• Anderson
• Andrews

Browse all communities in South Carolina

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

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