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Washington rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $2.66 / $8.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.88 / $3.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $770.50 / $979.65
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.04 / $179.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.27
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.62 / $5.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.80 / $5.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.59 / $30.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.93 / $3.99
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $4.98 / $4.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.13 / $3.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.04 / $2.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.86 / $1.86