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Arkansas rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.51 / $381.68 / $394.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $344.75 / $394.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.65 / $328.65 / $328.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.69 / $328.65 / $328.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.75 / $328.34 / $838.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $356.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $420.28