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Michigan 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
$1.78 / $10.27 / $49.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.86 / $2.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $4.09 / $7.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.08 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.86 / $1.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $4.26 / $49.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.86 / $2.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.70 / $2.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.06 / $2.31