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Rhode Island rates for HCPCS J9281

Mitomycin Pyelocalyceal Instillation 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.22 / $1,035.22 / $1,035.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $334.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $317.42 / $335.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $354.59