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Georgia rates for HCPCS J9120

Dactinomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $328.34 / $3,654.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.92 / $328.34 / $394.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.34 / $525.34 / $1,205.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $334.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.34 / $328.34 / $643.54
CareSource
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 / $328.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $418.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.80 / $714.73 / $1,628.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.99 / $558.16 / $1,120.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.16 / $563.16 / $563.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $334.91 / $437.05