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Alaska rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $2,089.30 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $380.19 / $812.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $389.05 / $812.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $524.81 / $831.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $446.68 / $446.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $426.58 / $602.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $489.78 / $912.01