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Louisiana rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $457.09 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $512.86 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $309.03 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $309.03 / $354.81