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Massachusetts rates for HCPCS J9209

Mesna 200 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $1.87 / $77.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $6.16 / $979.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.95 / $179.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $2.27 / $4.44
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 / $1.86
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $83.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.15
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $2.68 / $76.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $979.65 / $979.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.97 / $179.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.97 / $5.51