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Arkansas 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 / $29.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $23.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.38 / $25.38 / $25.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $25.38 / $25.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $24.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.41 / $22.07 / $25.38