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Louisiana rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $409.47 / $894.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $382.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.79 / $273.14 / $344.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.30 / $344.30 / $351.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,964.17 / $11,964.17 / $11,964.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.50 / $300.50 / $318.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.68 / $318.52 / $374.18