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Missouri rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $6.03 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.70 / $7.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.95 / $4.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.86 / $2.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.70 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.91 / $6.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.41 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.70 / $2.00