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Minnesota rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.48 / $26.48 / $26.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $26.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $26.96 / $52.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $22.51 / $24.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.14 / $75.97 / $92.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.85 / $26.24 / $30.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.08 / $67.16 / $83.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.85 / $23.85 / $25.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $23.39 / $26.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $24.57 / $56.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $23.21 / $40.92