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Montana rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Facilitymedian $32 · 10th–90th $22–$460%20%10th90th$32Professionalmedian $22 · 10th–90th $21–$280%50%10th90th$22$20.0$200.0$2.0K$20.0K$200.0K$2.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $21.38 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $25.12
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $40.74 / $70.79
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $40.74 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $23.99 / $39.81
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $27.54 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $23.99