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Alaska rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $8.68 / $753.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.86 / $3.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $3.46 / $57.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $3.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $8.40 / $13.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $7.20 / $7.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $4.84 / $19.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.27 / $6.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $2.79 / $5.58