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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
$21.18 / $26.48 / $102.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.18 / $26.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.56 / $27.45 / $28.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $24.28 / $24.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $29.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $26.48 / $33.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $24.57 / $100.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $26.26