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Louisiana rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Rates data updated October 2026.

How much does Jelmyto (mitomycin) cost?

$331per mg

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $331 for each mg of this drug. The price depends on where it is billed: about $331 from a physician practice, and about $339 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$331
At a hospital outpatient department
$339

The same drug, in the same amount, costs 2% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$331$331 to $339
FacilityA hospital or hospital-owned outpatient department$339$339 to $339

How much rates vary

Facilitymedian $339 · 10th to 90th $331 to $617Professionalmedian $331 · 10th to 90th $324 to $339
$500$1Kfacility $339professional $331

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$457.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$338.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$165.96
Median
$165.96
Typical High
$169.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$66.07
Median
$66.07
Typical High
$67.61
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$48.98
Median
$50.12
Typical High
$51.29
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$33.11
Median
$33.11
Typical High
$33.88
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$338.84
Typical High
$338.84
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$616.60
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$323.59
Typical High
$380.19

Where Louisiana sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Louisiana· 43rd of 51

$331

AK $407VT $331

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.