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Arizona rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.83 / $569.13 / $955.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $321.72 / $404.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.82 / $985.09 / $1,699.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.98 / $305.79 / $336.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.50 / $318.52 / $318.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $366.31 / $624.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.42 / $317.42 / $688.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.00 / $318.52 / $337.64