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South Carolina rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $446.68 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $331.13 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $363.08 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $323.59 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $346.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $354.81 / $575.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $758.58 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $323.59 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $363.08