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South Carolina rates for HCPCS J9209

Mesna 200 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $507.64 / $749.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.86 / $2.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $36.04 / $108.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $3.38 / $5.09
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $4.63 / $39.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $31.00 / $39.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.77 / $4.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.97 / $2.23