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Virginia rates for HCPCS J1302

Injection, sutimlimab-jome, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $20.76 / $41.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $19.80 / $19.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $39.79 / $64.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.77 / $28.18 / $42.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.79 / $17.79 / $18.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $22.24 / $22.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $18.86 / $30.16
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.57 / $18.32 / $24.14
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $18.32 / $24.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.55 / $18.86 / $22.24