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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
$21.88 / $30.20 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.88 / $33.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $61.66 / $117.49
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $23.44 / $69.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $56.23 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $26.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $61.66 / $117.49
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $23.44 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $23.44 / $25.70