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Indiana rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.60 / $737.62 / $2,198.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $350.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.52 / $637.05 / $770.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $439.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.52 / $318.52 / $477.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $398.16
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 / $360.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $337.64 / $374.18