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Michigan rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $27.53 / $46.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.18 / $23.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.17 / $51.01 / $97.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.64 / $24.78 / $32.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $26.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $37.07 / $58.93
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $23.39 / $28.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $25.72 / $35.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $24.57 / $27.37