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Ohio rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $4.24 / $164.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.86 / $2.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $4.13 / $12.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.11 / $3.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.63
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.86 / $25.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $6.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.72 / $2.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.31