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Illinois rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.69 / $85.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.86 / $2.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.36 / $1.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.99 / $33.39 / $57.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.04 / $2.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $4.74 / $40.13
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.90 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.97 / $2.33