HCPCS J9313
Injection, moxetumomab pasudotox-tdfk, 0.01 mg
Current codeChemotherapeutic Agent28 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $21.05 – $92.98 | — | — |
| Deaconess Medical Center | $32.75 – $104 | — | — |
| Harborview Medical Center | $29.79 – $50.80 | — | — |
| Island Hospital | $43.71 – $49.18 | — | — |
| Kadlec Regional Medical Center | $23.39 – $88.88 | — | — |
| Legacy Salmon Creek Medical Center | $28.63 – $52.63 | — | — |
| Mary Bridge Children's Hospital | $37.43 – $14,873 | — | — |
| MultiCare Auburn Medical Center | $28.07 – $108 | — | — |
| MultiCare Covington Medical Center | $28.07 – $108 | — | — |
| MultiCare Good Samaritan Hospital | $32.75 – $108 | — | — |
| MultiCare Valley Hospital | $32.75 – $104 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $21.05 – $139 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $18.25 – $77.61 | — | — |
| Providence Centralia Hospital | $23.39 – $88.88 | — | — |
| Providence Holy Family Hospital | $23.39 – $85.77 | — | — |
| Providence Regional Medical Center Everett | $19.88 – $72.55 | — | — |
| Providence St Mary Medical Center | $23.39 – $68.83 | — | — |
| Providence St Peter Hospital | $19.88 – $91.39 | — | — |
| Swedish Edmonds Hospital | $25.73 – $84.23 | — | — |
| Swedish Issaquah | $23.39 – $99.23 | — | — |
| Swedish Medical Center | $23.39 – $99.23 | — | — |
| Swedish Medical Center / Cherry Hill | $23.39 – $99.23 | — | — |
| Tacoma General Allenmore Hospital | $28.07 – $108 | — | — |
| University of Washington Medical Ctr | $29.79 – $73.37 | — | — |
| Virginia Mason Medical Center | $23.39 – $82.97 | — | — |
| Wellfound Behavioral Health Hospital | $59.03 | — | — |
| Yakima Valley Memorial | $36.68 – $72.55 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.