Mesna injection, 200 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MESNA 100 MG/ML INTRAVENOUS SOLUTION

Payers reporting HCPCS J9209

Payer pricing summary

Low

Average

$82

Median

$64

High

$417

Payer rate distribution

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#
1	Caresource fee schedule · outpatient · +15 other terms	61	$2	$6	$19	330%	107	$1 – $235
2	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	319	$7	$20	$43	214%	17–62	$0 – $853
3	UnitedHealthcare fee schedule · outpatient · +27 other terms	499	$3	$19	$75	395%	—	$1 – $1.6k
4	Cigna fee schedule · outpatient · +22 other terms	385	$3	$39	$110	280%	—	$0 – $981
5	Aetna fee schedule · outpatient · +25 other terms	282	$3	$77	$167	216%	—	$1 – $1.7k
6	Humana fee schedule · outpatient · +20 other terms	202	$4	$105	$133	128%	—	$1 – $537
7	Anthem fee schedule · outpatient · +20 other terms	103	$2	$19	$44	230%	—	$1 – $530
8	MultiPlan fee schedule · outpatient · +17 other terms	78	$190	$275	$295	107%	—	$1 – $1.8k
9	Molina fee schedule · outpatient · +19 other terms	59	$3	$23	$80	341%	—	$1 – $678
10	Kaiser fee schedule · both · +17 other terms	47	$2	$2	$3	117%	—	$1 – $21
11	Highmark facility · fee schedule · outpatient · +12 other terms	42	$2	$129	$138	107%	—	$1 – $507
12	Medica fee schedule · outpatient · +15 other terms	40	$4	$17	$52	311%	—	$1 – $303
13	First Health fee schedule · outpatient · +16 other terms	30	$142	$228	$141	62%	—	$3 – $537
14	Medcost facility · percent of total billed charges · bothfrom % of charges · +6 other terms	29	$61	$53	$20	37%	—	$20 – $103
15	Bcbs Tx fee schedule · outpatient · +4 other terms	27	$31	$27	$8	30%	—	$11 – $48
16	Excellus facility · fee schedule · both · +7 other terms	27	$7	$15	$19	123%	—	$7 – $109
17	Oscar facility · fee schedule · outpatient · +12 other terms	27	$2	$2	$0	7%	—	$2 – $2
18	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$93	$82	$25	30%	—	$49 – $125
19	Carefirst facility · fee schedule · both · +9 other terms	26	$7	$18	$21	116%	—	$7 – $109
20	Premera facility · fee schedule · both · +6 other terms	26	$7	$18	$21	119%	—	$7 – $109
21	Regence facility · fee schedule · both · +11 other terms	26	$7	$17	$19	114%	—	$7 – $109
22	Wellmark facility · fee schedule · both · +13 other terms	26	$7	$16	$19	123%	—	$7 – $109
23	Amerihealth Caritas facility · fee schedule · outpatient · +10 other terms	24	$2	$2	$0	7%	—	$2 – $3
24	Beechstreet percent of total billed charges · outpatientfrom % of charges · +4 other terms	21	$140	$168	$157	94%	—	$35 – $697
25	Phcs fee schedule · inpatient · +13 other terms	21	$203	$310	$127	41%	—	$7 – $578

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