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Oklahoma rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.44 / $2.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.88 / $2.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.95 / $3.08
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 / $1.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.61 / $5.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.42 / $179.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.21