| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $272.54 | $283.23 | $299.26 | |
BCBS
| Professional | $288.58 | $288.58 | $288.58 | |
Cigna
| Professional | $283.22 | $283.22 | $339.33 |
Mitomycin pyelocalyceal instillation, 1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $272.54 | $283.23 | $299.26 | |
BCBS
| Professional | $288.58 | $288.58 | $288.58 | |
Cigna
| Professional | $283.22 | $283.22 | $339.33 |