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Florida rates for HCPCS J9120

Dactinomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.34 / $607.42 / $2,505.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.92 / $328.34 / $521.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.75 / $328.34 / $578.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.49 / $328.34 / $328.34
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.46 / $346.92 / $346.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.28 / $5.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $348.04 / $365.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.92 / $302.92 / $328.34