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Illinois rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $29.83 / $47.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.18 / $23.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.87 / $77.58 / $454.92
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 / $25.67
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.08 / $61.76 / $78.34
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $32.75 / $35.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $23.39 / $26.04