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Missouri rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $21.55 / $29.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $19.43 / $22.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $32.06 / $67.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $23.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.79 / $17.79 / $18.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $23.59 / $90.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $18.11 / $20.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $18.86 / $21.80