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Kansas rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.98 / $885.00 / $1,332.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $354.61 / $885.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.45 / $704.68 / $1,707.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.93 / $354.93 / $354.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.75 / $328.34 / $1,685.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $450.04 / $1,749.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.92 / $337.21 / $6,027.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $348.04 / $525.34