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Georgia rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.98 / $21.98 / $57.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $25.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $37.42 / $85.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $25.16 / $25.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $23.17 / $32.44
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.57 / $22.51 / $72.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $37.43 / $52.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $23.39 / $27.68