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Texas 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
$1.49 / $2.92 / $547.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.86 / $2.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.36 / $1.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $17.35 / $34.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.00 / $20.16
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.66 / $2.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $80.00
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
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $2.35 / $20.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.90 / $3.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.04 / $6.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.16 / $20.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.97 / $2.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.86 / $2.60