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Hawaii rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $22.91 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $21.88 / $28.84