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Arkansas rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $2.23 / $288.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.88 / $2.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $4.08 / $4.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $4.08 / $4.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.86 / $1.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.92 / $2.38