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Texas rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $27.44 / $39.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $19.05 / $24.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $41.26 / $82.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.79 / $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 / $92.41 / $94.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $26.97 / $27.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $18.86 / $34.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.79 / $18.86 / $27.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $18.86 / $32.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.13 / $25.46