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Hawaii rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.78 / $46.78 / $46.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $23.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $27.02
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.87 / $22.54 / $33.11
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $28.30 / $30.17