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Mississippi rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.71 / $31.78 / $31.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $31.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.86 / $19.86 / $19.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.09 / $22.09 / $22.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $23.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $25.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.97 / $22.07 / $28.25