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Minnesota rates for HCPCS C9064

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $776.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $316.23 / $338.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $707.95 / $1,000.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $363.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11