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Arkansas rates for HCPCS J9281

Mitomycin Pyelocalyceal Instillation 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.97 / $382.24 / $399.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $334.46 / $382.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.37 / $344.37 / $344.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.81 / $344.37 / $344.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.89 / $311.36 / $318.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $345.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.36 / $318.52 / $366.31