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Louisiana rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.88 / $4.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.86 / $2.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $24.94 / $29.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.86 / $2.38