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West 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 / $26.48 / $26.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $21.98 / $22.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.58 / $32,999.67 / $69,999.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $31.58 / $31.58
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $24.28 / $26.48