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North Dakota rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $21.18 / $40.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $26.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $23.85 / $30.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $23.39 / $26.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $24.57 / $100.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $24.57 / $27.52