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Massachusetts rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $30.55 / $44.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $22.51 / $23.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $70.90 / $116.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $23.39 / $100.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.97 / $30.90 / $60.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $23.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.83 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $23.39 / $27.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $116.95 / $116.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $23.39 / $100.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $23.34 / $28.59