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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
$334.46 / $334.46 / $1,347.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.51 / $318.52 / $334.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.46 / $334.09 / $540.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $355.47 / $431.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.50 / $318.52 / $373.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $330.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.54 / $318.52 / $515.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.54 / $248.54 / $493.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.65 / $320.60 / $752.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.75 / $337.64 / $357.43