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Missouri rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $26.48 / $36.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.18 / $26.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $29.79 / $84.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.86 / $21.18 / $26.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $26.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $26.48 / $38.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $23.39 / $100.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $25.95