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Michigan rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $23.31 / $34,821.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $19.43 / $21.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.31 / $42.00 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.25 / $19.21 / $19.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $24.48 / $58.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $18.86 / $22.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.82 / $21.68 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $19.23