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Utah rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $54.44 / $161.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $2.09 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.79 / $3.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.52 / $2.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86