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Wyoming rates for HCPCS J9209

Injection, mesna, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.88 / $2.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $6.00 / $6.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.27 / $2.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86