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Nebraska rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $43.75 / $58.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.45 / $35.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.57 / $25.38 / $25.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.26 / $28.69 / $28.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $28.55 / $36.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $31.77 / $42.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $24.57 / $100.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.07 / $35.09 / $46.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $33.21 / $58.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.37 / $33.20 / $47.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $26.48