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Connecticut rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $44.67 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.88 / $25.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $33.88 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $22.39 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $24.55 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.88 / $24.55