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Tennessee rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $412.65 / $691.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.42 / $318.52 / $382.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.35 / $332.39 / $380.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.36 / $318.52 / $318.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.34 / $424.48 / $1,592.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.70 / $1,374.70 / $1,374.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.45 / $516.45 / $516.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.12 / $318.52 / $355.47