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Alabama rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $302.92 / $328.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $394.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.66 / $1,813.84 / $2,440.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $373.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.08 / $328.34 / $365.51