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North Carolina rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $28.64 / $56.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $22.51 / $28.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.17 / $45.57 / $61.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.72 / $24.72 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $35.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $26.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $24.11 / $31.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.11 / $24.11 / $34.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $38.47 / $44.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $23.39 / $26.48
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $116.95 / $116.95
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.62 / $100.62 / $119.16