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Minnesota rates for HCPCS J9120

Dactinomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.34 / $328.34 / $328.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $367.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.33 / $838.46 / $2,199.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.77 / $318.07 / $702.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.31 / $471.45 / $922.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.20 / $328.34 / $373.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.63 / $440.61 / $1,004.42
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.26 / $294.26 / $307.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $302.92 / $843.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.92 / $337.21 / $2,769.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $348.04 / $673.54