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Indiana rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Facilitymedian $490 · 10th–90th $324$9120%20%10th90th$490Professionalmedian $324 · 10th–90th $324$4370%50%90th$324$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $676.08 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $416.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $489.78 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $489.78
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $380.19 / $575.44
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $630.96 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $338.84 / $363.08