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Nebraska rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $318.52 / $704.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $445.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.73 / $345.57 / $345.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.82 / $389.29 / $390.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $459.99 / $482.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.75 / $460.26 / $634.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.00 / $348.43 / $476.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.59 / $469.49 / $631.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.59 / $470.84 / $482.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.68 / $446.30 / $660.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.00 / $318.52 / $379.05