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New Mexico rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $28.23 / $28.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $25.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.13 / $18.86 / $18.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86