go back

Vermont rates for HCPCS J9281

Mitomycin Pyelocalyceal Instillation 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $384.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.60 / $360.60 / $360.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.50 / $354.33 / $590.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $590.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.50 / $354.33 / $590.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $590.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.05 / $337.64 / $735.93