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Maine rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.99 / $738.99 / $796.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $331.27 / $384.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.30 / $354.11 / $1,009.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $330.55
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.99 / $738.99 / $796.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $334.46 / $533.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $461.87