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Tennessee rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.98 / $27.69 / $39.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $23.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.28 / $26.71 / $29.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $23.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $116.95 / $116.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.62 / $100.62 / $119.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.41 / $22.07 / $25.16