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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
$19.69 / $33.34 / $117.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $35.08 / $42.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.16 / $50.16 / $50.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $60.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $29.29 / $46.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.33 / $41.84 / $69.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $20.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $28.29 / $38.04