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Idaho rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.88 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $35.48 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $23.44 / $32.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.88 / $22.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $20.42 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $35.48 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $23.99 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $23.44