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South Carolina rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.71 / $21.71 / $87.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $23.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.91 / $27.50 / $51.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.23 / $25.91 / $32.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $32.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.71 / $24.11 / $35.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.11 / $24.11 / $40.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.29 / $22.59 / $27.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.76 / $23.39 / $25.72