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Vermont rates for HCPCS J9209

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.86 / $2.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.54 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $1.54 / $2.57
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.97 / $5.58