go back

Tennessee rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $22.82 / $39.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $21.91
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $94.30 / $94.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.89