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Oklahoma rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.29 / $342.81 / $483.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $324.89 / $384.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.70 / $193.56 / $306.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.50 / $300.50 / $318.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $356.52 / $509.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.58 / $317.42 / $399.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.00 / $318.52 / $379.05