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Arkansas rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $22.63 / $22.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $22.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $19.64 / $19.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.79 / $18.86 / $18.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.89