go back

North Dakota rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $25.70 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $23.99 / $30.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $23.44 / $33.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $24.55 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $22.91 / $26.92