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Mississippi rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.46 / $380.91 / $382.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $321.72 / $382.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.57 / $250.57 / $266.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.02 / $344.02 / $344.02
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.58 / $313.00 / $416.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.60 / $318.52 / $407.72