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Arizona rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $4.08 / $83.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.86 / $5.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $4.70 / $8.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.50 / $1.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.86 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.12 / $26.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $179.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.97