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Iowa rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.20 / $367.20 / $698.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $367.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $345.58 / $459.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $454.62 / $672.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $367.20 / $578.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.42 / $353.36 / $1,374.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.59 / $476.13 / $631.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.59 / $405.06 / $736.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.89 / $631.22 / $665.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $328.09 / $379.05
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.37 / $347.37 / $347.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.42 / $347.37 / $347.37