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New Mexico rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $2.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.98 / $2.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.98 / $34.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.97