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Louisiana rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.48 / $27.80 / $62.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.71 / $26.48 / $26.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.88 / $19.80 / $23.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.83 / $23.83 / $24.31
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $22.07 / $26.48