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North Dakota rates for HCPCS J9120

Injection, dactinomycin, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $338.84 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $316.23 / $398.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $489.78 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $338.84 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $371.54