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Hawaii rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $3.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.86 / $1.98
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $1.97 / $1.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.23 / $2.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.90 / $2.79
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $2.22 / $7.47