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Illinois rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $385.42 / $668.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.42 / $318.52 / $349.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.37 / $1,248.72 / $5,955.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.86 / $395.11 / $395.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $374.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.60 / $419.81 / $662.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.09 / $414.09 / $414.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $460.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.00 / $332.09 / $354.59