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Arizona rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.32 / $656.68 / $985.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $331.62 / $399.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.61 / $948.90 / $1,646.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.22 / $315.20 / $342.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.80 / $328.34 / $357.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $385.32 / $1,315.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.92 / $302.92 / $6,027.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $348.04