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Illinois rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $426.57 / $975.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.92 / $328.34 / $366.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.69 / $1,858.79 / $11,713.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.00 / $637.58 / $720.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $604.79
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $476.09 / $3,531.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.84 / $426.84 / $426.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.80 / $404.32 / $433.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $348.04 / $390.72