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West Virginia 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
$1.46 / $2.06 / $5.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.04 / $2.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $4.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.04 / $8.90