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Utah rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $25.70 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $32.36 / $66.07
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $20.42 / $20.42
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.05 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05