go back

Rhode Island rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.06 / $86.06 / $86.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $22.51 / $22.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $23.39 / $24.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.83 / $23.83 / $23.83
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $24.57