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Alaska rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Rates data updated October 2026.

How much does Jelmyto (mitomycin) cost?

$407per mg

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $407 for each mg of this drug. The price depends on where it is billed: about $407 from a physician practice, and about $617 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$407
At a hospital outpatient department
$617

The same drug, in the same amount, costs 51% more 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$407$331 to $603
FacilityA hospital or hospital-owned outpatient department$617$331 to $832

How much rates vary

Facilitymedian $617 · 10th to 90th $331 to $2,089Professionalmedian $407 · 10th to 90th $331 to $617
$100$200$500$1K$2Kfacility $617professional $407

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
Facility
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$616.60
Typical High
$616.60
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$165.96
Median
$309.03
Typical High
$309.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$66.07
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$48.98
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$33.11
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$338.84
Moda Health
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$2,089.30
Moda Health
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$331.13
Typical High
$602.56
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$162.18
Median
$302.00
Typical High
$302.00
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$64.57
Median
$120.23
Typical High
$120.23
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$48.98
Median
$91.20
Typical High
$91.20
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$32.36
Median
$60.26
Typical High
$60.26
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$537.03
Typical High
$831.76
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$457.09
Typical High
$457.09
Providence
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$870.96
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$331.13
Typical High
$416.87
United
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$489.78
Typical High
$660.69

Where Alaska sits

Rates are fairly even across states for this service. 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.

Alaska· 1st of 51

$407

AK $407VT $331

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.