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New Hampshire rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.60 / $1.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.86 / $1.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $2.79 / $3.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.86 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $3.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $7.14 / $11.97