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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
$25.16 / $33.81 / $71.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $22.51 / $23.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $33.27 / $66.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.50 / $23.39
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.29 / $24.28 / $27.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.97 / $22.07 / $24.28