go back

Indiana rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $43.51 / $82.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $19.05 / $19.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $37.72 / $49.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $18.86 / $26.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $18.86 / $25.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $23.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.69 / $18.86 / $49.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $22.24