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Virginia rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Facilitymedian $26 · 10th–90th $22–$600%20%10th90th$26Professionalmedian $22 · 10th–90th $21–$260%50%10th90th$22$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $44.67 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $21.88 / $25.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $46.77 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $35.48
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $42.66 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $48.98 / $77.62
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $24.55 / $36.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $26.30 / $26.30
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $22.39 / $32.36
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $22.39 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $23.44 / $25.12