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Massachusetts rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Facilitymedian $417 · 10th–90th $324$7940%20%10th90th$417Professionalmedian $324 · 10th–90th $324$4370%50%90th$324$100.0$500.0$2.0K$10.0K$50.0K

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 / $457.09 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $457.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $891.25 / $1,621.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $575.44 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $436.52 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $346.74
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $22,387.21 / $22,387.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $891.25 / $1,621.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $1,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $323.59 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $331.13 / $363.08