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Oklahoma rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $19.55 / $33.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.37 / $20.37 / $20.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.79 / $17.79 / $18.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $20.54 / $90.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86