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Minnesota rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $350.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.48 / $338.41 / $655.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.63 / $323.29 / $333.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.64 / $997.47 / $1,214.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.89 / $350.79 / $405.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.97 / $881.87 / $1,094.32
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.89 / $318.89 / $334.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $317.42 / $699.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.42 / $353.36 / $816.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $337.64 / $609.38