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Pennsylvania rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $3.30 / $87.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.86 / $5.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $2.02 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $1.93
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.02 / $2.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $30.69 / $277.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $3.30 / $87.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.86 / $5.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $5.90 / $27.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.86 / $1.86
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.99
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.97 / $3.40