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Maryland rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $302.92 / $2,459.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $546.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.93 / $302.93 / $328.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.80 / $324.80 / $752.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $387.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.08 / $328.34 / $1,350.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $365.51 / $397.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.80 / $324.80 / $430.13