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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
$16.98 / $19.50 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.05 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $37.15 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $19.05 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $21.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $20.42 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $30.20 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.05 / $24.55
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33