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New Jersey rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $33.88 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.88 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $28.84
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $28.84 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $22.91 / $25.12