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Washington, DC rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $954.99 / $19,498.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $758.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $389.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $309.03 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $323.59 / $398.11