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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
$22.51 / $22.51 / $22.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $22.51 / $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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $23.39 / $29.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.48 / $22.48 / $22.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $36.25 / $45.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.56 / $35.09 / $59.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $30.90