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Maine rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.93 / $1.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $85.00
Cigna
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 / $1.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.93 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.93