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California rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $3.55 / $75.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.88 / $15.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.97 / $2.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.86 / $9.28
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $5.09 / $8.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $2.83 / $6.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.40
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.58 / $2.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.23 / $4.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $979.65 / $979.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.29 / $179.29 / $179.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $3.23 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.37 / $14.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.37
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $3.78 / $3.78
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.86 / $2.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $3.72