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Massachusetts rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.52 / $430.74 / $626.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $350.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.10 / $818.35 / $1,592.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $1,374.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.46 / $391.15 / $760.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.36 / $318.52 / $318.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $501.52 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $368.67
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,275.65 / $22,275.65 / $22,275.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.71 / $1,592.65 / $1,592.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $337.64 / $1,374.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $412.60