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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
$22.39 / $28.84 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.88 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $45.71 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $26.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $23.44 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $31.62 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $38.90 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $23.44 / $24.55
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23