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Michigan rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.01 / $405.61 / $605.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.01 / $328.34 / $361.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.43 / $716.13 / $1,364.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.47 / $218.37 / $283.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.63 / $328.34 / $389.76
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.34 / $608.41 / $885.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.01 / $328.34 / $426.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.80 / $328.34 / $459.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.13 / $306.13 / $306.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $365.51 / $420.34