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Iowa rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.48 / $26.48 / $50.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $58.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $23.85 / $33.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.52 / $54.21 / $82.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $26.48 / $38.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $24.57 / $100.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.07 / $35.09 / $46.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $32.85 / $38.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $46.32 / $48.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.73 / $26.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.60 / $25.60 / $25.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.22 / $25.60 / $25.60