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Massachusetts rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Facilitymedian $26 · 10th–90th $19–$500%20%10th90th$26Professionalmedian $19 · 10th–90th $19–$300%50%90th$19$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $29.51 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $48.98 / $64.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.50 / $23.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $41.69 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $28.18 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $33.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $48.98 / $64.57
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.50 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $30.20 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $19.05 / $19.95