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New Mexico rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.16 / $25.16 / $27.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $26.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $29.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $31.57 / $40.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $23.39 / $29.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $29.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $23.39