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North Carolina rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.01 / $18.32 / $21.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.01 / $17.01 / $21.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.14 / $35.27 / $47.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.13 / $19.13 / $19.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.79 / $18.86 / $18.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $21.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.01 / $22.44 / $23.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.64 / $14.64 / $14.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $24.52
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $94.30