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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
$19.50 / $54.95 / $34,673.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $42.66 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $19.50 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $54.95 / $61.66
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.95 / $25.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $20.42