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Kansas rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $21.38 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.38 / $26.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $28.84 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $26.30 / $33.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $23.44 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $22.91 / $25.12