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Kentucky rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.86 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.19 / $2.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.86 / $1.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.23 / $2.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.04 / $2.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.86 / $9.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.38 / $1.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.92 / $2.06