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Indiana rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $48.99 / $95.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.18 / $22.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $44.14 / $56.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $23.39 / $32.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.86 / $29.97 / $41.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.22 / $29.97 / $37.46
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 / $25.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $23.39 / $25.56