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Connecticut rates for HCPCS J9120

Dactinomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.47 / $455.55 / $917.55
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
$338.09 / $556.01 / $4,219.29
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
$328.34 / $328.34 / $328.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.73 / $356.21 / $492.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.92 / $328.34 / $365.51