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Arizona rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.33 / $34.96 / $79.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $25.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $70.30 / $124.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.54 / $21.18 / $23.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $23.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.45 / $23.39 / $46.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $47.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $23.39