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Alabama rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $23.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,863.89 / $8,329.65 / $11,206.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $22.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.76 / $22.07 / $24.06