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Pennsylvania rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Facilitymedian $38 · 10th–90th $19–$580%10%10th90th$38Professionalmedian $19 · 10th–90th $19–$230%50%90th$19$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $44.67 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $22.91
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $20.42 / $25.70
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.95 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $69.18 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $33.88 / $33.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $29.51 / $50.12
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $26.30