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Colorado rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.10 / $605.84 / $633.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $366.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.17 / $576.50 / $1,050.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.75 / $309.75 / $1,194.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $394.01 / $1,113.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.89 / $361.17 / $492.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $348.04