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Kansas rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $7.41 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.74 / $1.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.70 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.86 / $6.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.41 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.70 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.70 / $1.91