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Virginia rates for HCPCS J9313

Injection Moxetumomab Pasudotox-Tdfk 0.01 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $24.58 / $48.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $22.51 / $23.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.39 / $48.42 / $76.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.18 / $29.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.39 / $23.39 / $23.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $22.51 / $22.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.83 / $23.83 / $77.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.51 / $25.54 / $36.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.73 / $40.00 / $56.14
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $25.16 / $33.11
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $25.16 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $23.39 / $24.83