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Alaska rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $61.66
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $30.20 / $47.86
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $50.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $20.42 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.84 / $38.02