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Illinois rates for HCPCS J9280

Injection Mitomycin 5 Mg (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.62 / $32.97 / $266.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.55 / $31.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.60 / $25.60 / $25.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.00 / $77.79 / $852.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.02 / $78.02 / $88.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $44.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $59.69 / $262.39
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.46 / $26.46 / $26.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.60 / $35.84 / $38.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $21.57 / $25.91