go back

Nebraska rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $36.25 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $30.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.01 / $20.28 / $21.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.46 / $20.50 / $21.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $18.86 / $23.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.77 / $39.79 / $90.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $19.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.73 / $29.32 / $37.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.52 / $21.73 / $27.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.92 / $18.86 / $20.75