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Nebraska rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.36 / $5.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $21.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $5.26 / $5.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $9.99 / $10.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.09 / $2.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.25 / $5.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.48 / $39.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $2.04 / $2.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.43 / $4.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.18 / $10.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.21