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Idaho rates for HCPCS J9120

Dactinomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $302.92 / $348.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.92 / $338.19 / $410.42
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 / $328.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $454.22 / $922.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $348.04 / $426.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.47 / $505.40 / $602.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.26 / $760.44 / $1,545.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.01 / $394.01 / $410.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $348.04