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Delaware rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.59 / $843.83 / $867.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $366.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.04 / $341.04 / $341.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $364.46 / $1,275.22