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South Carolina rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $26.30 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.05 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $20.42 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.39 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $19.05 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $21.88 / $52.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $18.62 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.05 / $20.89