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Maryland rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $24.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $18.10 / $18.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $24.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $20.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $22.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.13 / $18.13 / $18.13