go back

New Hampshire rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $20.28 / $36.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.48 / $33.95 / $85.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.86 / $18.86
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 / $18.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.79 / $30.63 / $58.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $27.35