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New Hampshire rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $380.90 / $390.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.42 / $318.52 / $331.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.80 / $573.35 / $1,392.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.50 / $318.52 / $318.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $533.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $337.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.63 / $310.08 / $387.28