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New Jersey rates for HCPCS C9064

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.13 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.54 / $272.54 / $272.54