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Arizona rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.18 / $37.72 / $56.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.92 / $20.75 / $23.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.49 / $47.54 / $94.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $17.53 / $119.96
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $23.90 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86