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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
$20.89 / $79.43 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.38 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $26.92 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $26.92 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $23.99 / $38.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $23.44 / $24.55