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Mitomycin Injection

Rhode Island rates for HCPCS J9280

Injection, mitomycin, 5 mg

Rates data updated October 2026.

How much does Mitomycin Injection cost?

$176per dose

One 26 mg dose, at the doctor's office rate. In Rhode Island, October 2026.

Negotiated ratewhat insurers pay per 5 mg of the drug
$33.88 / 5 mg
Average doseacross Medicare claims, discarded units included
× 26 mg
One dosedrug only; giving it and the visit are billed separately
$176

Work out the cost of a dose

This drug is priced per 5 mg. Enter the amount given to see what insurers have agreed to pay for it. Prefilled with the average administration in Medicare claims, discarded units included.

mg
In a doctor's office or clinic
$176
At a hospital outpatient department
$157

The same drug, in the same amount, costs 11% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where the price changes

Given atPer 5 mgPer 26 mg dose
Doctor's office or clinic$33.88$176
Hospital outpatient department$30.20$156

How much rates vary

Facilitymedian $30 · 10th to 90th $28 to $69Professionalmedian $34 · 10th to 90th $28 to $35
$50$100facility $30professional $34

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$162.18
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$44.67
Typical High
$69.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
United
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
United
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$30.20

Where Rhode Island sits

The same service costs 5.4 times more in Wyoming than in Arizona. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Rhode Island· 25th of 51

$33.88

WY $162AZ $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.