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North Dakota rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $3.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.02 / $2.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.73 / $1.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.13 / $3.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.50 / $179.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.25