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North Carolina rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.51 / $544.03 / $735.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.51 / $318.52 / $384.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.40 / $608.48 / $691.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.38 / $335.38 / $419.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.50 / $318.52 / $373.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $374.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.54 / $289.51 / $420.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.54 / $390.32 / $451.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.65 / $523.79 / $609.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $337.64 / $383.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.71 / $424.48 / $1,592.65
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.70 / $1,374.70 / $1,374.70