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Wisconsin rates for HCPCS C9094

Inj, sutimlimab-jome, 10 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $38.75 / $54.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.13 / $16.61 / $20.16
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00