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New Mexico rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Facilitymedian $26 · 10th–90th $21–$600%20%10th90th$26Professionalmedian $22 · 10th–90th $21–$260%50%10th90th$22$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $21.88 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $29.51 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $30.20 / $50.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $23.44 / $35.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $27.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $23.44 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $23.44