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West Virginia rates for HCPCS J9281

Mitomycin pyelocalyceal instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.42 / $320.60 / $349.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $334.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.52 / $350.38 / $477.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $738.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.50 / $313.00 / $318.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $330.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $350.38 / $374.18