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Idaho rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $2.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.88 / $2.54
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 / $1.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.61 / $23.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.97 / $2.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $2.11 / $2.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.23 / $2.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.60