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North Carolina rates for HCPCS J9280

Injection, mitomycin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.51 / $734.14 / $1,640.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $22.38 / $123.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.68 / $29.68 / $29.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.34 / $53.21 / $81.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.40 / $33.44 / $150.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $20.35 / $92.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $102.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $70.00 / $212.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $63.00 / $132.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.56 / $33.47 / $93.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $34.49 / $46.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $21.57 / $24.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.45 / $628.59 / $628.59
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.77 / $573.77 / $573.77