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New Jersey rates for HCPCS J9281

Mitomycin Pyelocalyceal Instillation 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.52 / $390.43 / $774.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $347.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.52 / $339.87 / $439.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $330.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.55 / $345.58 / $388.61
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.66 / $687.85 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.62 / $305.33 / $326.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.95 / $672.95 / $672.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.00 / $334.46 / $374.18