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North Carolina rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $50.14 / $492.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.86 / $5.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $2.18 / $2.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.60 / $2.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.86 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $6.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $4.63 / $41.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $4.00 / $31.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.97 / $3.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.97 / $2.24
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $979.65 / $979.65
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.29 / $179.29 / $179.29