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Missouri rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $367.20 / $499.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $324.89 / $384.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.52 / $430.02 / $1,144.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $398.16
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 / $383.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $367.20 / $602.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.58 / $335.69 / $1,374.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.97 / $318.52 / $367.20