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Missouri rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $885.00 / $2,381.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $334.90 / $885.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.34 / $351.32 / $1,179.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $329.00 / $416.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.75 / $309.75 / $328.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $328.34 / $418.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.92 / $463.47 / $1,657.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.83 / $321.10 / $6,027.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.13 / $386.70 / $386.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.38 / $337.53 / $458.36