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Massachusetts rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.34 / $425.12 / $6,238.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $363.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.78 / $822.16 / $5,222.64
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $344.76 / $6,027.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.98 / $403.20 / $783.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.80 / $328.34 / $328.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $478.61 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $380.02
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.77 / $462.77 / $520.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.88 / $5,222.64 / $5,222.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $348.04 / $6,027.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $348.04 / $774.88