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North Dakota rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.52 / $318.52 / $571.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $384.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.58 / $347.31 / $351.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.77 / $347.31 / $351.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $322.08 / $405.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $349.05 / $573.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.42 / $353.36 / $1,374.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $385.10