go back

Tennessee rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $9.61 / $415.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.86 / $2.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.45 / $1.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $979.65 / $979.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.29 / $179.29 / $179.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.86 / $2.21