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New York rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.15 / $58.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.86 / $2.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.86 / $3.85
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.82
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.93 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.63
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.89 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.02 / $2.78
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.93 / $1.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $5.09
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.98 / $85.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $31.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.95 / $2.79
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $1.93
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.93 / $1.93