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Maryland rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $95.05 / $95.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.86 / $8.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.06 / $2.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $2.44