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Mississippi rates for HCPCS J9120

Dactinomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.75 / $363.51 / $394.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.34 / $331.62 / $394.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.70 / $725.70 / $725.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.91 / $615.91 / $975.14
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 / $693.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.80 / $384.10 / $547.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.07 / $328.34 / $446.54