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Indiana rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $4.54 / $9.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.86 / $2.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $3.72 / $5.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.33
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 / $5.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.06 / $2.48