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Utah rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.98 / $21.98 / $21.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $26.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.21 / $34.21 / $34.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $30.40 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.89 / $47.25 / $67.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $22.07 / $22.07