| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellcare
| Facility | $90.00 | $100.00 | $100.00 |
Inj, sutimlimab-jome, 10 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellcare
| Facility | $90.00 | $100.00 | $100.00 |