HCPCS J9313
Injection, moxetumomab pasudotox-tdfk, 0.01 mg
Current codeChemotherapeutic Agent28 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $22.93 – $25.22 | — | — |
| Deaconess Medical Center | $22.93 – $25.22 | — | — |
| Harborview Medical Center | $23.39 – $25.73 | — | — |
| Island Hospital | $27.32 – $28.96 | — | — |
| Kadlec Regional Medical Center | $23.39 – $28.07 | — | — |
| Legacy Salmon Creek Medical Center | $24.10 – $26.20 | — | — |
| Mary Bridge Children's Hospital | $22.93 – $25.22 | — | — |
| MultiCare Auburn Medical Center | $22.93 – $25.22 | — | — |
| MultiCare Covington Medical Center | $22.93 – $25.22 | — | — |
| MultiCare Good Samaritan Hospital | $22.93 – $25.22 | — | — |
| MultiCare Valley Hospital | $23.61 – $25.22 | — | — |
| Olympic Medical Center | $28.69 – $36.88 | — | — |
| Overlake Hospital Medical Center & Clinics | $23.39 – $24.33 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $23.39 – $28.07 | — | — |
| Providence Centralia Hospital | $23.39 – $37.43 | — | — |
| Providence Holy Family Hospital | $23.39 – $25.73 | — | — |
| Providence Regional Medical Center Everett | $23.39 – $25.73 | — | — |
| Providence St Mary Medical Center | $23.39 – $25.73 | — | — |
| Providence St Peter Hospital | $23.39 – $37.43 | — | — |
| Swedish Edmonds Hospital | $23.39 – $28.07 | — | — |
| Swedish Issaquah | $23.39 – $28.07 | — | — |
| Swedish Medical Center | $23.39 – $28.07 | — | — |
| Swedish Medical Center / Cherry Hill | $23.39 – $28.07 | — | — |
| Tacoma General Allenmore Hospital | $22.93 – $25.22 | — | — |
| University of Washington Medical Ctr | $23.39 – $25.73 | — | — |
| Virginia Mason Medical Center | $16.37 – $24.56 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $22.93 – $25.68 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.