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Alaska rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.96 / $35.39 / $125.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $35.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $35.75 / $51.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.41 / $30.41 / $40.93
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.07 / $37.07 / $58.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.48 / $31.78 / $31.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $35.75 / $52.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $26.48 / $31.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $33.11 / $66.20