go back

Texas rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $24.10 / $51.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $23.39 / $26.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.85 / $22.85 / $22.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $23.39 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $33.92
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.45 / $23.39 / $44.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.86 / $23.39 / $23.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $28.07 / $52.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.98 / $23.39 / $39.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $27.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $23.39 / $24.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $30.90