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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
$25.70 / $25.70 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.38 / $26.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $33.88 / $35.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.39 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $79.43 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $25.12 / $30.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $75.86 / $89.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $28.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $23.44 / $26.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $23.44 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $22.91 / $33.88