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Wisconsin rates for HCPCS J9313

Injection, moxetumomab pasudotox-tdfk, 0.01 mg

Facilitymedian $22 · 10th–90th $21$520%20%40%10th90th$22Professionalmedian $22 · 10th–90th $21$260%50%10th90th$22$20.0$50.0$100.0

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
$20.89 / $21.38 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $25.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $50.12 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $48.98 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $29.51 / $42.66
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $22.39 / $23.44
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $63.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $22.39 / $23.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $24.55 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $66.07 / $66.07
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $61.66 / $61.66
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $42.66 / $117.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $28.18 / $120.23
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $22.91 / $25.70