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Payers and negotiated rates for HCPCS J9290 | medprice.ai

PR MITOMYCIN 20 MG INJ

Payers reporting HCPCS J9290

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Payer pricing summary

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Low

$124

Average

$359

Median

$232

High

$826

Payer rate distribution

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Filter by billing methodology

Filter by billing class

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1	Aetna professional · percent of total billed charges · bothfrom % of charges	8	$212	$232	$28	12%	—	$212 – $279
2	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	8	$355	$314	$73	23%	—	$156 – $379
3	UnitedHealthcare professional · percent of total billed charges · bothfrom % of charges · +1 other terms	7	$71	$99	$54	54%	—	$71 – $219
4	First Health professional · percent of total billed charges · bothfrom % of charges · +1 other terms	6	$247	$247	$35	14%	—	$212 – $318
5	Humana professional · percent of total billed charges · bothfrom % of charges · +1 other terms	6	$244	$190	$103	54%	—	$48 – $282
6	MultiPlan professional · percent of total billed charges · bothfrom % of charges · +1 other terms	5	$212	$167	$79	47%	—	$58 – $254
7	Caresource professional · percent of total billed charges · bothfrom % of charges	4	$124	$124	—	—	—	$124 – $124
8	Ambetter professional · percent of total billed charges · bothfrom % of charges	2	$212	$212	—	—	—	$212 – $212
9	Kaiser fee schedule · both · +1 other terms	2	$244	$244	—	—	—	$244 – $244
10	Phcs professional · percent of total billed charges · bothfrom % of charges	2	$212	$212	—	—	—	$212 – $212
11	Anthem facility · fee schedule · outpatient	1	$605	$605	—	—	—	$605 – $605
12	Cigna professional · fee schedule · outpatient · +1 other terms	1	$70	$70	—	—	—	$70 – $70
13	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	1	$220	$220	$241	110%	—	$21 – $664

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