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Oklahoma rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.45 / $21.45 / $30.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.45 / $21.98 / $26.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.45 / $23.39 / $26.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $23.39 / $33.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $24.72