go back

Maine rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Facilitymedian $66 · 10th–90th $29–$660%50%10th$66Professionalmedian $22 · 10th–90th $21–$250%20%40%10th90th$22$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $21.88 / $25.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $26.92 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $22.39 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $31.62 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $21.88 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $22.39 / $28.84